NPIMap

Individual provider Active NPI

Amelia Jo Clark, NP

  • Nurse Practitioner
  • Billings, MT
National Provider Identifier
1073244596
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
195825 Issued in MT
Practice address
2900 12TH Ave N Ste 500E
Billings, MT 59101-7500
Phone
(406) 238-6804
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 195825 MT Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 500E
Billings, MT 59101-7500

Mailing address

2900 12TH Ave N Ste 500E
Billings, MT 59101-7500
Phone (406) 238-6804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120002330 MT Practitioner - Nurse Practitioner 2264803618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
195825MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Oct 19, 2022 Accepting new patients
Billings Clinic CurrentSince Aug 13, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Aug 13, 2025 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Oct 19, 2022 Accepting new patients
St Vincent Healthcare Past Accepting new patients
Billings Clinic Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2900 12th Ave N
Billings, MT 59101
Phone (406) 238-6010

2900 12th Ave N
Ste 500E
Billings, MT 59101
Phone (406) 238-6380

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1073244596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 500E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017500",
            "telephone_number": "406-238-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 500E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017500",
            "telephone_number": "406-238-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMELIA",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "195825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.