Individual provider Active NPI

Nicole Evan Zavatsky

  • Family Nurse Practitioner
  • Miles City, MT
National Provider Identifier
1992228100
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-127168 Issued in MT
Practice address
620 S Haynes Ave
Miles City, MT 59301-4769
Phone
(406) 233-7000
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NUR-APRN-LIC-127168 MT
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-127168 MT Primary

Addresses

Primary practice location

620 S Haynes Ave
Miles City, MT 59301-4769

Mailing address

PO Box 35100
Billings, MT 59107-5100

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
I20171018000569 MT Practitioner - Nurse Practitioner 2961778006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

620 S Haynes Ave
Miles City, MT 59301-4769
Phone (406) 233-7000

Hospital & facility affiliations

  • St John'S United Home Health Home health agency, Billings, MT, CCN 277098
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-127168MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Aug 19, 2017 Accepting new patients
Billings Clinic CurrentSince Aug 19, 2017 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Current Accepting new patients

Locations

2675 Central Ave
Billings, MT 59102
Phone (406) 238-2900

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

620 S Haynes Ave
Miles City, MT 59301
Phone (406) 233-7000

Interoperability endpoints

  • Direct secure messaging: nzavatsky@billingsclinic.cernerdirect.com

Organizations & group practices 4

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 9

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1992228100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S HAYNES AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014769",
            "telephone_number": "406-233-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVATSKY",
        "first_name": "NICOLE",
        "middle_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-127168",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-127168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.