Individual provider Active NPI

Nicole Cottom, FNP-BC

  • Family Nurse Practitioner
  • Dillon, MT
National Provider Identifier
1376944512
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
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
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
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 Inc 27 clinicians

Practice addresses (Care Compare)

125 E Glendale St
Dillon, MT 59725-2505
Phone (406) 496-6000

Hospital & facility affiliations

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141118002417 MT Practitioner - Nurse Practitioner 7012139520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Sep 9, 2014 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Sep 9, 2014 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc Past Accepting new patients

Locations

445 Centennial Ave
Butte, MT 59701
Phone (406) 723-4075

41 Barrett St
Dillon, MT 59725
Phone (406) 683-4440

125 E Glendale St
Dillon, MT 59725
Phone (406) 683-2316

Interoperability endpoints

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-RN-LIC-49065 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

41 Barrett St
Dillon, MT 59725-3508

Mailing address

445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-0475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2022.

{
    "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": []
}

Other providers in Dillon, MT

Sources for this page

Verify at the official NPI Registry.