Individual provider Active NPI

Mara Zello, FNP

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1619640091
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-175734 Issued in MT
Practice address
935 Highland Blvd Ste 2180
Bozeman, MT 59715-6904
Phone
(406) 414-5512
Fax
(406) 414-3610
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
Yes

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
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-175734 MT Primary

Addresses

Primary practice location

935 Highland Blvd Ste 2180
Bozeman, MT 59715-6904

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1619640091MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzello17255984@direct.sanfordhealth.org Direct Bozeman Health Deaconess Hospital

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
I20210910001047 MT Practitioner - Nurse Practitioner 9638575046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apricity Medical PLLCGroup PAC ID 1254868318, 5 clinicians
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

Bozeman, MT 59718
Phone (724) 312-8520

937 Highland Blvd
Suite 5410
Bozeman, MT 59715-6916
Phone (406) 414-4260

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-175734MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Belgrade Clinic PLLP Current Accepting new patients
Apricity Medical PLLC CurrentSince Nov 4, 2024 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Nov 1, 2021 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Nov 1, 2021 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

1925 Grand Ave
Ste 129
Billings, MT 59102
Phone (406) 545-2535

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

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

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

3905 Wellness Way
Ste 3B
Bozeman, MT 59718
Phone (406) 414-4250

935 Highland Blvd
Ste 2180
Bozeman, MT 59715
Phone (406) 414-5331

937 Highland Blvd
Ste 5410
Bozeman, MT 59715
Phone (406) 414-2400

Interoperability endpoints

  • Direct secure messaging: mzello17255984@direct.sanfordhealth.org

Organizations & group practices 5

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1619640091",
    "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": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HIGHLAND BLVD STE 2180",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156904",
            "telephone_number": "406-414-5512",
            "fax_number": "406-414-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLO",
        "first_name": "MARA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-175734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619640091",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzello17255984@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Deaconess Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "937 Highland Blvd Ste 5410",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.