Kristin Kara Nelson Baumert, PA-C
Individual provider Active NPI Physician Assistant · Bozeman, MT
NPI 1154770014 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1154770014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MED-PAC-LIC-51706 (MT)
- Practice address
- 5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566 - Phone
- (406) 219-7233
- Fax
- (866) 284-8967
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- 406 Recovery Inc
Practice addresses (Care Compare)
5 W Mendenhall St
Suite 202
Bozeman, MT 59715-3566
Phone (406) 219-7233
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117001176 | MT | Practitioner - Physician Assistant | 5890074728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PAC-LIC-51706 | MT | MD | Physician Assistant |
| 51706 | MT | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MED-PAC-LIC-51706 | MT | Yes |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 51706 | MT |
Addresses
Primary practice location
5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Mailing address
5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone (406) 219-7233
Other names
- Kristin Kara Nelson
Other providers in Bozeman, MT
- Jonathan Bateman
- Christina Anne Bauer
- Kaleigh Nicole Bauerle
- Heather Leigh Baughman
- Robin Ponce Bauman
- Sherry Sims Beach
- Brandon S Beamer
- Bearcreek Respite Care Center
- Beartooth Ortho, PLLC
- James Howard Beaudry
All providers in Bozeman, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.