NPIMap

Individual provider Active NPI

Nicole Christine Clark, MD

  • Neurology Physician
  • Helena, MT
National Provider Identifier
1689861528
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12026 Issued in MT
Practice address
1050 Road Runner St
Helena, MT 59602-0543
Phone
(406) 204-1211
Fax
(406) 204-1299
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 12026 MT Primary

Addresses

Primary practice location

1050 Road Runner St
Helena, MT 59602-0543

Mailing address

1050 Road Runner St
Helena, MT 59602-0543
Phone (406) 204-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000940 MT Practitioner - NeurologyPractitioner - Internal Medicine 9830243617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2525 E Broadway St
Suite 200
Helena, MT 59601-8049
Phone (406) 457-4180

Hospital & facility affiliations

  • St Peters Health Hospital, Helena, MT, CCN 270003
  • St James Hospital Hospital, Butte, MT, CCN 270017

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6029568-1205UTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Peter'S Health Current Accepting new patients
St. Peter'S Health CurrentSince Jul 20, 2009 Accepting new patients
St Peters Hospital CurrentSince Jul 20, 2009 Accepting new patients
Helena Medical Specialists Neurology Current Accepting new patients

Locations

2525 E Broadway St
Ste 105
Helena, MT 59601
Phone (406) 457-4160

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

1050 Road Runner St
Helena, MT 59602
Phone (406) 442-1377

2525 E Broadway St
Ste 200
Helena, MT 59601
Phone (406) 327-3924

2525 E Broadway St
Helena, MT 59601
Phone (406) 457-4300

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

Organizations & group practices 12

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 6

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1689861528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ROAD RUNNER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020543",
            "telephone_number": "406-204-1211",
            "fax_number": "406-204-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ROAD RUNNER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020543",
            "telephone_number": "406-204-1211",
            "fax_number": "406-204-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "12026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.