Individual provider Active NPI

Kayla J Boltz, FNP

  • Primary Care Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1407672512
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
245583 Issued in MT
Practice address
900 6TH St SW Ste 2
Great Falls, MT 59404-3207
Phone
(406) 727-3242
Fax
(406) 727-3161
NPI assigned
Nov 25, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 245583 MT Primary

Addresses

Primary practice location

900 6TH St SW Ste 2
Great Falls, MT 59404-3207

Mailing address

PO Box 684
Fairfield, MT 59436-0684
Phone (406) 899-6222

Other names 1

  • Kayla J Lapke Former name

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
I20241219001506 MT Practitioner - Nurse Practitioner 1254868979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Slope Family Practice PLLCGroup PAC ID 9335452432, 2 clinicians

Practice addresses (Care Compare)

900 6TH St SW
Suite 2
Great Falls, MT 59404-3207
Phone (406) 727-3242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245583MTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Slope Family Practice PLLC CurrentSince Jan 1, 2025 Accepting new patients
Family Health Clinic LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

900 6th St SW
Ste 2
Great Falls, MT 59404
Phone (406) 727-3242

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1407672512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "594360684",
            "telephone_number": "406-899-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 6TH ST SW STE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043207",
            "telephone_number": "406-727-3242",
            "fax_number": "406-727-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTZ",
        "first_name": "KAYLA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "245583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "LAPKE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.