Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIAN BALES
NPI 1053169763
Nurse Practitioner - Family in Whitefish, MT

Active since May 08, 2024PECOS Enrolled
1111 BAKER AVE, WHITEFISH, MT 59937(406) 862-2515(406) 862-4229 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Jun 28, 2024, May 13, 2024 and 1 more (4 updates tracked since 2024).

About Brian Bales NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN BALES (NPI 1053169763) is an individual family provider in Whitefish, Montana, licensed in Montana (NUR-APRN-LIC-236621) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053169763
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRIAN BALES
Location Address1111 BAKER AVEWhitefish, MT 59937-2901
Mailing Address1111 Baker AveWhitefish, MT 59937-2901 · (406) 862-2515 · Fax (406) 862-4229
Fax(406) 862-4229
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 8, 2024
Last NPPES UpdateOctober 28, 20264 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1053169763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MT · NUR-APRN-LIC-236621
1111 BAKER AVE, Whitefish, MT 59937

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Bales is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345785309
PECOS Enrollment IDI20240715000637
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Bales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Practice Midwife
770 W RESERVE DR STE 3
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59937 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
1111 BAKER AVE
WHITEFISH, MT 59937
Family Medicine
1111 BAKER AVE, GLACIER MEDICAL ASSOCIATES
WHITEFISH, MT 59937
Physician Assistant (Medical)
1111 BAKER AVE
WHITEFISH, MT 59937
Nurse Practitioner (Family)
1111 BAKER AVE
WHITEFISH, MT 59937
Surgery
1111 BAKER AVE, SUITE 2
WHITEFISH, MT 59937
Family Medicine
1111 BAKER AVE
WHITEFISH, MT 59937
Pharmacy (Community/Retail Pharmacy)
1111 BAKER AVE
WHITEFISH, MT 59937
Family Medicine
1111 BAKER AVE, GLACIER MEDICAL ASSOCIATES
WHITEFISH, MT 59937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Bales's NPI number?

The NPI number for Brian Bales is 1053169763. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Brian Bales located?

Brian Bales practices at 1111 Baker Ave, Whitefish, MT 59937. The listed phone number is (406) 862-2515.

What is Brian Bales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brian Bales enrolled in Medicare?

Yes. Brian Bales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Bales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Bales reassigns Medicare benefits to Heart & Hands Midwifery And Family Healthcare PLLC (Kalispell, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Bales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Bales accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Brian Bales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Bales affiliated with any hospitals?

According to CMS data, Brian Bales is affiliated with Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Bales was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.