NPIMap

Individual provider Active NPI

Nicole Andrea Mandala, MD

  • Obstetrics & Gynecology Physician
  • Billings, MT
National Provider Identifier
1699064055
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MED-PHYS-LIC-41463 Issued in MT
Practice address
801 N 29TH St
Billings, MT 59101-0905
Phone
(406) 238-2500
NPI assigned
Apr 6, 2011
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 56276 CO
Obstetrics & Gynecology Physician 207V00000X 41463 MT
Obstetrics & Gynecology Physician 207V00000X MED-PHYS-LIC-41463 MT Primary

Addresses

Primary practice location

801 N 29TH St
Billings, MT 59101-0905

Mailing address

3141 E Copper Ridge Loop
Billings, MT 59106-2251
Phone (303) 669-7845

Other practice location 1

210 Sunnyview Ln Ste 201
Kalispell, MT 59901-3128
Phone (406) 858-8200

Other names 1

  • Nicole Andrea Stornelli Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nmandala@billingsclinic.cernerdirect.com Direct
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

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
I20150708003061 MT Practitioner - Obstetrics/Gynecology 8628380375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6725

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526

350 Heritage Way
Kalispell, MT 59901-3167

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56276COMDObstetrics & Gynecology Physician
41463MTMDObstetrics & Gynecology Physician
MED-PHYS-LIC-41463MTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Apr 28, 2025 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Jul 25, 2022 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Billings Clinic Current Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Jul 25, 2022 Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients
Billings Clinic Past Accepting new patients
Kalispell Regional Medical Center Inc Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

210 Sunnyview Ln
Ste 101
Kalispell, MT 59901
Phone (406) 257-6464

210 Sunnyview Ln
Ste 201
Kalispell, MT 59901
Phone (406) 752-5252

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

75 Claremont St
Ste A
Kalispell, MT 59901
Phone (406) 752-8282

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1699064055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 E COPPER RIDGE LOOP",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062251",
            "telephone_number": "303-669-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010905",
            "telephone_number": "406-238-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Sunnyview Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013128",
            "country_code": "US",
            "telephone_number": "406-858-8200",
            "fax_number": "406-858-6803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDALA",
        "first_name": "NICOLE",
        "middle_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "56276",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "41463",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "MED-PHYS-LIC-41463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmandala@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N 29th St",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591010905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "210 Sunnyview Ln Ste 101",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "STORNELLI",
            "middle_name": "ANDREA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.