Individual provider Active NPI

Kathleen G Damberger, CNP

  • Women's Health Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1508835232
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN14627 Issued in MT
Practice address
300 N Willson
Suite 2001
Bozeman, MT 59715-3572
Phone
(406) 587-0681
Fax
(406) 587-9011
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN14627 MT Primary

Addresses

Primary practice location

300 N Willson
Suite 2001
Bozeman, MT 59715-3572

Mailing address

300 N Willson
Suite 2001
Bozeman, MT 59715-3572
Phone (406) 587-0681

Other practice location 1

905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Phone (406) 414-5150

Other identifiers 2

IdentifierTypeStateIssuer
0434876MedicaidMT
000037053OtherMTBCBS

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
I20080902000551 MT Practitioner - Nurse Practitioner 6507932324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bozeman Health Big Sky Medical Center LLCGroup PAC ID 7315256872, 21 clinicians
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

334 Town Ctr Ave
Big Sky, MT 59716
Phone (406) 995-6995

905 Highland Blvd
Suite 4500
Bozeman, MT 59715-6903
Phone (406) 414-5150

Merit-based Incentive Payment System (MIPS)

Final score
80.25 of 100Reported as group
Quality
83.73
Promoting interoperability
100
Improvement activities
40
Cost
50.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN14627MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Feb 25, 2021 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Feb 25, 2021 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Sep 1, 2020 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Sep 1, 2020 Accepting new patients
Bridgercare Past Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

905 Highland Blvd
Ste 4500
Bozeman, MT 59715
Phone (406) 414-5150

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

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

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1508835232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WILLSON",
            "address_2": "SUITE 2001",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153572",
            "telephone_number": "406-587-0681",
            "fax_number": "406-587-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON",
            "address_2": "SUITE 2001",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153572",
            "telephone_number": "406-587-0681",
            "fax_number": "406-587-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Highland Blvd Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156903",
            "country_code": "US",
            "telephone_number": "406-414-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMBERGER",
        "first_name": "KATHLEEN",
        "middle_name": "G",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "RN14627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434876",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000037053",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.