Active NPI
Nikki Sue Bonilla King, FNP
- Nurse Practitioner
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NUR-APRN-LIC-234184
- Practice address
- 1301 11TH Ave S Ste 6
Great Falls, MT 59405-4654 - Phone
- (406) 868-7342
- NPI assigned
- Feb 20, 2024
- Last updated
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NUR-APRN-LIC-234184 | MT | Primary |
Addresses
Primary practice location
1301 11TH Ave S Ste 6
Great Falls, MT 59405-4654
Mailing address
1708 2ND Ave N
Great Falls, MT 59401-3226
Phone (406) 868-7342
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 11TH Ave S
Suite 6
Great Falls, MT 59405-4654
Phone (406) 455-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-234184 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Benefis Hospitals, Inc. | Current | Accepting new patients | |
| Benefis Hospitals, Inc. | Past | Accepting new patients |
Locations
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1301 11th Ave S
Ste 6
Great Falls, MT 59405
Phone (406) 455-2777
Organizations & group practices 3
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.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
dba Benefis Senior Services
- Physical Therapist
- Great Falls, MT
- NPI 1750530515
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Spectrum Home Health
- Home Health Agency
- Great Falls, MT
- NPI 1811927452
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
Hospital
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1396500245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 2ND AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013226",
"telephone_number": "406-868-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 11TH AVE S STE 6",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054654",
"telephone_number": "406-868-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA KING",
"first_name": "NIKKI",
"middle_name": "SUE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "NUR-APRN-LIC-234184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.