Individual provider Active NPI

Amanda Kull, M.D.

  • Otolaryngology Physician
  • Bozeman, MT
National Provider Identifier
1497287775
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MED-PHYS-LIC-104963 Issued in MT
Practice address
925 Highland Blvd Ste 1160
Bozeman, MT 59715-6905
Phone
(406) 414-3780
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 104963 MT
Otolaryngology Physician 207Y00000X 10957163-1205 UT
Otolaryngology Physician 207Y00000X MED-PHYS-LIC-104963 MT Primary

Addresses

Primary practice location

925 Highland Blvd Ste 1160
Bozeman, MT 59715-6905

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 556-9798

Other practice location 1

50 North Medical Drive
Salt Lake City, UT 84132
Phone (801) 699-2017

Other practice location 2

1648 Ellis St Ste 301
Bozeman, MT 59715-8811
Phone (406) 556-9798

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802000055 MT Practitioner - Otolaryngology 0244583557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104963MTMDOtolaryngology Physician
MED-PHYS-LIC-104963MTMDOtolaryngology Physician
10957163-1205UTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital Single Specialty CurrentSince Mar 20, 2024 Accepting new patients
Bridger Ear, Nose and Throat PLLC Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Belgrade Clinic PLLP Single Specialty Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Mar 20, 2024 Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

1648 Ellis St
Ste 301
Bozeman, MT 59715
Phone (406) 556-9798

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1160
Bozeman, MT 59715
Phone (406) 414-3780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJFIAA

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 1

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1497287775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-556-9798",
            "fax_number": "406-556-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGHLAND BLVD STE 1160",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156905",
            "telephone_number": "406-414-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 North Medical Drive",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84132",
            "country_code": "US",
            "telephone_number": "801-699-2017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1648 Ellis St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597158811",
            "country_code": "US",
            "telephone_number": "406-556-9798",
            "fax_number": "406-556-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULL",
        "first_name": "AMANDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "104963",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "10957163-1205",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "MED-PHYS-LIC-104963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.