Active NPI
Amanda Kull, M.D.
- Otolaryngology Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MED-PHYS-LIC-104963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
Enrollment records 1
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
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 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104963 | MT | MD | Otolaryngology Physician |
| MED-PHYS-LIC-104963 | MT | MD | Otolaryngology Physician |
| 10957163-1205 | UT | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Single Specialty | Current | Accepting new patients |
| Bridger Ear, Nose and Throat PLLC | Single Specialty | Current | Accepting new patients |
| Belgrade Clinic PLLP | Single Specialty | Current | Accepting new patients |
| Bozeman Health Deaconess Hospital | Current | 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
- 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.
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
Single Specialty
-
- Otolaryngology Physician
- Bozeman, MT
- NPI 1407878549
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1104295864
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.