Nicole Cottom, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NUR-RN-LIC-49065 Issued in MT

Practice address

41 Barrett St
Dillon, MT 59725-3508

Phone

(406) 496-6000

NPI assigned

Sep 8, 2014

Last updated

Mar 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butte Silver Bow Primary Health Care Clinic IncGroup PAC ID 3870402845, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barrett Hospital & Healthcare Hospital, Dillon, MT, CCN 271318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ncottom139588@direct.ochin.org

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.

• Butte Silver Bow Primary Health Care Clinic Inc

  dba Blacktail Health

  • Federally Qualified Health Center (FQHC)
  • Butte, MT
  • NPI 1285725143
  Medicare reassignment Care Compare group NPD
• Butte Silver Bow Primary Health Care Clinic Inc

  dba Blacktail Health Pharmacy

  • Community/Retail Pharmacy
  • Dillon, MT
  • NPI 1144883984
  NPD
• Butte Silver Bow Primary Health Care Clinic Inc

  dba Blacktail Dental

  • Federally Qualified Health Center (FQHC)
  • Dillon, MT
  • NPI 1235238718
  NPD (past)

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

• Barrett Hospital Development Corporation

  dba Barrett Hospital & HealthCare

  • Critical Access Hospital
  • Dillon, MT
  • NPI 1326042078
  Care Compare affiliation
• Barrett Hospital Development Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Dillon, MT
  • NPI 1326419102
  Care Compare affiliation

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1376944512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-0475",
            "fax_number": "406-496-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BARRETT ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253508",
            "telephone_number": "406-496-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTOM",
        "first_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-RN-LIC-49065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Clarke, MD
• Meghan Combs, MD
• Concierge OT PLLC
• Caitlin Cooper
• County of Beaverhead
• County of Beaverhead Family Planning
• Nicole Crawford, RPH
• Creger Family Eye Care, PC (Douglas D Creger OD)
• Douglas D Creger, OD

• Family Nurse Practitioner in Dillon, MT
• Providers in Dillon, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.

Verify at the official NPI Registry.