NPIMap

Organization Active NPI

Billings Clinic

Doing business as Billings Clinic Bozeman

  • Internal Medicine Physician
  • Bozeman, MT
National Provider Identifier
1265648455
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BILLINGS CLINIC
Doing business as
Billings Clinic Bozeman
Practice address
3905 Wellness Way
Bozeman, MT 59718-2402
Phone
(406) 587-9202
NPI assigned
May 15, 2007
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BILLINGS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Kathleen Rossie Quinones
Title
Cfo
Phone
(406) 435-6445

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Dermatology Physician 207N00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU
Gastroenterology Physician 207RG0100X NU
Hematology & Oncology Physician 207RH0003X NU
Obstetrics & Gynecology Physician 207V00000X NU
Maternal & Fetal Medicine Physician 207VM0101X NU
Ophthalmology Physician 207W00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Neurology Physician 2084N0400X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
Podiatrist 213E00000X NU

Addresses

Primary practice location

3905 Wellness Way
Bozeman, MT 59718-2402

Mailing address

PO Box 35100
Billings, MT 59107-5100
Phone (406) 587-9202

Other identifiers 1

IdentifierTypeStateIssuer
0415688OtherMTMDCD PIN

Other names 1

  • Billings Clinic Bozeman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080430000212 MT Part B Supplier - Clinic/Group Practice 6002993516 Receives reassigned benefits from 1,427 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20080514000501 MT Part A Provider - Hospital 6002993516 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miles City, MT; Bozeman, MT; Billings, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265648455. Details of each certification follow.

Hospital certification: CCN 270004

Legal name
BILLINGS CLINIC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 27, 2010
Beds
304
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1999 in MT
Enrollment address
2800 10TH Ave N
Billings, MT 59101-0703
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Care Compare: Hospital

Medicare Care Compare
Listed as
Billings Clinic HospitalCCN 270004 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Deaconess Billings HLTH43 organizations share this tax ID, including this one
Part of
Deaconess Billings HLTH

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

2675 Central Ave
Billings, MT 59102
Phone (406) 238-2900

Interoperability endpoints

  • Direct secure messaging: akorten@billingsclinic.cernerdirect.com
  • Direct secure messaging: jyarger@billingsclinic.cernerdirect.com
  • Direct secure messaging: khaus@billingsclinic.cernerdirect.com
  • Direct secure messaging: shaugan@billingsclinic.cernerdirect.com
  • Direct secure messaging: sshomento@billingsclinic.cernerdirect.com
  • Direct secure messaging: ssillitti@billingsclinic.cernerdirect.com
  • Direct secure messaging: tbradford@billingsclinic.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Davies Individual Corporate Officer Jan 1, 2025
Kevin Abel Individual W-2 Managing EmployeeCeo Aug 1, 2024
Marlin D Richardson Individual Corporate Officer Jan 1, 2025
Todd Blake Individual Corporate Director Jun 10, 2025
Heidi M Duncan Individual Corporate Director Aug 1, 2021
Amy Cebull Individual Corporate Director Jul 1, 2023
John Edwards Individual Corporate Director Aug 1, 2023
Wells Fargo Bank Organization, Denver, CO Financial institution Other Aug 24, 2011 11.83%
Gordon M Riha Individual Corporate Officer Jul 1, 2024
Mufg Union Bank NA Organization, Los Angeles, CA Financial institution Other Aug 24, 2011 10.25%
Mtwy Health Organization, Kalispell, MT Corporation 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Eileen McDonald Individual Corporate Director Aug 1, 2021
Clinton W Seger Individual W-2 Managing Employee Aug 26, 2022
Alice Gordon Individual Corporate Director Aug 1, 2022
Patti L Pilgrim Individual Corporate Director May 21, 2025
W-2 Managing EmployeeCfo May 21, 2025
Craig Bartholomew Individual Corporate Director Jul 1, 2015
Karen McComish Individual Corporate Officer Jan 1, 2025
Blake Underriner Individual Corporate Officer Jul 1, 2024
Erika K Wright Individual Corporate Director Oct 1, 2025
W-2 Managing EmployeeCfo Oct 1, 2025
Kendrick Trostel Individual Corporate Director Sep 1, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 117

Affiliated clinicians 1,266

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,266

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1265648455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-587-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WELLNESS WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182402",
            "telephone_number": "406-587-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLINGS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BILLINGS CLINIC",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ROSSIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-435-6445"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "0415688",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Billings Clinic Bozeman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Billings Clinic Bozeman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.