Individual provider Active NPI

Nick Cade Cantrell, M.D.

  • Diagnostic Radiology Physician
  • Kalispell, MT
National Provider Identifier
1114185303
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12055 Issued in MT
Practice address
320 Sunnyview LN
Kalispell, MT 59901-3129
Phone
(406) 751-7519
NPI assigned
May 25, 2008
Last updated
Dec 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X PENDING WI
Diagnostic Radiology Physician 2085R0202X 12055 MT Primary

Addresses

Primary practice location

320 Sunnyview LN
Kalispell, MT 59901-3129

Mailing address

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090828000259 MT Practitioner - Diagnostic Radiology 2567536899 Reassigns benefits to 16 organizations
I20240105002834 WA Practitioner - Diagnostic Radiology 2567536899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
St Lukes Community HospitalGroup PAC ID 5496659567, 59 clinicians
Liberty County Hospital and Nursing Home IncGroup PAC ID 0042128480, shared by 3 NPIs, 26 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Logan Health - ShelbyGroup PAC ID 6608285192, 23 clinicians
Northwest Imaging, PCGroup PAC ID 8426969155, 18 clinicians
Logan Health - ConradGroup PAC ID 8921917501, 25 clinicians

Practice addresses (Care Compare)

Kalispell, MT 59901
Phone (425) 563-1500

107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441

1655 Whitefish Village Dr
Whitefish, MT 59937-8975
Phone (425) 563-1500

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6488

315 W Madison Ave
Chester, MT 59522-7801
Phone (406) 759-5181

640 2ND Ave E
Kalispell, MT 59901-5302
Phone (425) 563-1500

640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3200

640 W Park Dr
Shelby, MT 59474-1663
Phone (406) 751-7519

805 Sunset Blvd
Conrad, MT 59425-1717
Phone (406) 271-3211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12055MTMDDiagnostic Radiology Physician
PENDINGWIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Hospital and Nursing Home, Inc Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Nov 1, 2021 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jun 2, 2024 Accepting new patients
St Lukes Community Hospital CurrentSince Jan 1, 2020 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jan 9, 2024 Accepting new patients
St. Lukes Community Hospital Current Accepting new patients
Northwest Imaging, PC Diagnostic Radiology CurrentSince Aug 1, 2009 Accepting new patients
Logan Health - Conrad Current Accepting new patients
Logan Health - Shelby CurrentSince Sep 1, 2025 Accepting new patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Apr 1, 2025 Accepting new patients
St Lukes Community Hospital CurrentSince Jan 1, 2020 Accepting new patients
Northern Rockies Medical Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Logan Health - Conrad CurrentSince Nov 1, 2025 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Logan Health - Shelby CurrentSince Sep 1, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Logan Health - Conrad CurrentSince Nov 1, 2025 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Nov 1, 2021 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Dec 18, 2023 Accepting new patients
Northern Rockies Medical Center, Inc. Current Accepting new patients
Central Washington Health Services Association CurrentSince Dec 1, 2023 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Mar 19, 2025 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 3, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 Past Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology Past Accepting new patients

Locations

805 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251

160 Heritage Way
Ste 202
Kalispell, MT 59901
Phone (406) 752-8433

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

320 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 752-7441

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

75 Claremont St
Ste H
Kalispell, MT 59901
Phone (406) 752-7406

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

126 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-2151

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 12

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": "1211673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1114185303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-751-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-751-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "NICK",
        "middle_name": "CADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-25",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "12055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.