Active NPI
Michelle Lynn Boltz, FNP
- Family Nurse Practitioner
- Libby, MT
National Provider Identifier
1194843870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 40325
- Practice address
- 214 E 3Rd St
Libby, MT 59923-2056 - Phone
- (406) 293-9274
- Fax
- (406) 293-9280
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 957 | AK | |
| Family Nurse Practitioner | 363LF0000X | 40325 | MT | Primary |
Addresses
Primary practice location
214 E 3Rd St
Libby, MT 59923-2056
Mailing address
214 E 3Rd St
Libby, MT 59923-2056
Phone (406) 293-9274
Other practice location 1
310 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 751-5310
Other practice location 2
600 Mt Highway 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc | |
| Direct Messaging Address | mboltz236485@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090629000389 | TX | Practitioner - Nurse Practitioner | 3274684451 | Reassigns benefits to 1 organization |
| I20120803000715 | MT | Practitioner - Nurse Practitioner | 3274684451 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Maniilaq Association
Practice addresses (Care Compare)
436 5TH and Ted Stevens Way
Maniilaq Health Center
Kotzebue, AK 99752-0043
Phone (907) 442-3321
Hospital & facility affiliations
- Maniilaq Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 957 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Health - Conrad | Current | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corp | Current | Accepting new patients | |
| Liberty County Hospital and Nursing Home, Inc | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Logan Health - Conrad | Current | Accepting new patients | |
| Logan Health - Conrad | Current | Accepting new patients | |
| Northern Rockies Medical Center, Inc. | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Liberty County Hospital and Nursing Home, Inc | Current | Accepting new patients | |
| Northern Rockies Medical Center, Inc. | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Maniilaq Association | 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
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Chester, MT
- NPI 1003984097
MT
-
- Critical Access Hospital
- Kotzebue, AK
- NPI 1316995210
-
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
-
- Critical Access Hospital
- Chester, MT
- NPI 1497754782
-
- Rural Health Clinic/Center
- Conrad, MT
- NPI 1669461703
-
- Ambulance
- Conrad, MT
- NPI 1790803765
-
- Orthopaedic Surgery Physician
- Hamilton, MT
- NPI 1457656548
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": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1194843870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E 3RD ST",
"city": "LIBBY",
"state": "MT",
"postal_code": "599232056",
"telephone_number": "406-293-9274",
"fax_number": "406-293-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 3RD ST",
"city": "LIBBY",
"state": "MT",
"postal_code": "599232056",
"telephone_number": "406-293-9274",
"fax_number": "406-293-9280"
}
],
"practiceLocations": [
{
"address_1": "310 Sunnyview Ln",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013129",
"country_code": "US",
"telephone_number": "406-751-5310",
"fax_number": "406-751-3068",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Mt Highway 91 S",
"address_purpose": "LOCATION",
"city": "Dillon",
"state": "MT",
"postal_code": "597257379",
"country_code": "US",
"telephone_number": "406-683-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLTZ",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "957",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "40325",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "310 Sunnyview Ln",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013129",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mboltz236485@wm.providencedirect.org",
"affiliation": "N",
"address_1": "600 Mt Highway 91 S",
"city": "Dillon",
"state": "MT",
"country_code": "US",
"postal_code": "597257379",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Libby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.