DR. KELLY EARLE DNP, APRN, FNC-C
NPI 1104410745
Nurse Practitioner - Family in Bozeman, MT

Active since February 24, 2021PECOS EnrolledAccepts Medicare Assignment
80.8/100
CMS Quality Rating
935 HIGHLAND BLVD STE 2180, BOZEMAN, MT 59715(406) 414-5512 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2025, Apr 4, 2025, Feb 24, 2021 (3 updates tracked since 2021).

About Dr. Kelly Earle Dnp, Aprn, Fnc-c NPPES

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

DR. KELLY EARLE DNP, APRN, FNC-C (NPI 1104410745) is an individual family provider in Bozeman, Montana, licensed in Montana (NUR-APRN-LIC-165997) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104410745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KELLY EARLECredential: DNP, APRN, FNC-C
Location Address935 HIGHLAND BLVD STE 2180Bozeman, MT 59715-6904
Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 24, 2021
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1104410745 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-165997
935 HIGHLAND BLVD STE 2180, Bozeman, MT 59715

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Earle Dnp, Aprn, Fnc-c 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 ID6305252420
PECOS Enrollment IDI20210315001552
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services105 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
180 services74 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
130 services81 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
76 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
31 services16 patients

Hospital Affiliations CMS Care Compare

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

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270057
Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59715 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.76
Promoting Interoperability87
Improvement Activities40
Cost58.08

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims375 services$3.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Physician Assistant (Medical)
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715
Physician Assistant (Medical)
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715
Emergency Medicine
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715
Internal Medicine
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715
Nurse Practitioner (Family)
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715
Nurse Practitioner (Adult Health)
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715
Emergency Medicine (Undersea and Hyperbaric Medicine)
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715
Nurse Practitioner (Family)
935 HIGHLAND BLVD STE 2180
BOZEMAN, MT 59715

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 Kelly Earle's NPI number?

The NPI number for Kelly Earle is 1104410745. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Kelly Earle located?

Kelly Earle practices at 935 Highland Blvd Ste 2180, Bozeman, MT 59715. The listed phone number is (406) 414-5512.

What is Kelly Earle's specialty?

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

Is Kelly Earle enrolled in Medicare?

Yes. Kelly Earle 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.

What insurance does Kelly Earle accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Kelly Earle 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 Kelly Earle affiliated with any hospitals?

According to CMS data, Kelly Earle is affiliated with Bozeman Health Deaconess Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Earle was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.