Nicole Leigh Wellman Donester, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18601 Issued in MT

Practice address

400 13TH Ave S
Suite 206
Great Falls, MT 59405-4300

Phone

(406) 731-8888

Fax

(406) 731-8876

NPI assigned

Oct 9, 2009

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Leigh Donester Professional name

Electronic endpoints 1

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

Specialty

Dermatology

Education

University of California, San Francisco School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Montana PLLCGroup PAC ID 9537593710, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

Merit-based Incentive Payment System (MIPS)

Final score

82.99 of 100Reported as group

Quality

62.64

Promoting interoperability

100

Improvement activities

40

Cost

80.67

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

92.95

Improvement activities

40

Cost

79.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.donester@epiphanyderm.emadirect.md
• Direct secure messaging: nwellmandonester19152@benefishs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Epiphany Dermatology of Montana, PLLC

  • Dermatology Physician
  • Butte, MT
  • NPI 1902455074
  Medicare reassignment Care Compare group NPD
• Benefis Hospitals Inc

  dba Benefis Medical Group

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1780968974
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Benefis Hospitals Inc

  dba Benefis Medical Group

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1780968974

  Hospital

  Care Compare affiliation
• Benefis Hospitals, Inc.

  • Air Ambulance
  • Great Falls, MT
  • NPI 1114934023

  Hospital

  Care Compare affiliation
• Benefis Hospitals, Inc.

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1881650737
  Care Compare affiliation

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1689909566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 13TH AVE S",
            "address_2": "SUITE 206",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054300",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 13TH AVE S",
            "address_2": "SUITE 206",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054300",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN DONESTER",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A111981",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "18601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwellmandonester19152@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "400 13th Ave S",
            "address_2": "Suite 206",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594054300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DONESTER",
            "middle_name": "LEIGH",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Robert Weiss, PA-C
• Jodi L Weisser Violett, MD
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• Carey J Welsh, MD
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• Dermatology Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.

Verify at the official NPI Registry.