COTTONWOOD CLINIC, LLC
NPI 1306262803
Clinic/Center in Deer Lodge, MT

Active since March 10, 2014CLIA 27D2076119 · Waiver
310 MAIN ST, DEER LODGE, MT 59722(406) 846-4275(406) 846-7278 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cottonwood Clinic, Llc NPPES

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

COTTONWOOD CLINIC, LLC (NPI 1306262803) is a healthcare organization registered as a clinic/center in Deer Lodge, Montana and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Heide Lynn Applegate, Owner, Np, as its authorized official.

NPPES Registry Identity

NPI1306262803
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOTTONWOOD CLINIC, LLC
Location Address310 MAIN STDeer Lodge, MT 59722-1000
Mailing Address310 Main StDeer Lodge, MT 59722-1000 · (406) 846-4275 · Fax (406) 846-7278
Fax(406) 846-7278
Organization SubpartNo
Authorized OfficialHeide Lynn ApplegateOwner, Np · (406) 846-4275
Enumeration DateMarch 10, 2014
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1306262803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 25000 (MT)
310 MAIN ST, Deer Lodge, MT 59722

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cottonwood Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMontanaEnrollment IDO20140527000755Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cottonwood Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1043337140
310 MAIN ST
Deer Lodge, MT 59722
(406) 846-4275
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255075511
310 MAIN ST
Deer Lodge, MT 59722
(406) 846-4275
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2076119

Cottonwood Clinic, LLC · Deer Lodge, MT
Active · expires Apr 10, 2028
CLIA Number27D2076119
Laboratory TypePractitioner Other
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorHeide L. Applegate
Laboratory Phone(406) 846-4275
Laboratory LocationCottonwood Clinic, LLC310 Main St, Deer Lodge, MT 59722
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cottonwood Clinic, LLC's NPI number?

The NPI number for Cottonwood Clinic, LLC is 1306262803. It was assigned to this organization in the NPPES registry on March 10, 2014.

Where is Cottonwood Clinic, LLC located?

Cottonwood Clinic, LLC is located at 310 Main St, Deer Lodge, MT 59722. The listed phone number is (406) 846-4275.

What is Cottonwood Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Cottonwood Clinic, LLC enrolled in Medicare?

Yes. Cottonwood Clinic, LLC is registered in the Medicare PECOS enrollment system.

When is Cottonwood Clinic, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Montana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cottonwood Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Cottonwood Clinic, LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cottonwood Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2076119) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cottonwood Clinic, LLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Cottonwood Clinic, LLC 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.

When was this NPI record last updated?

The NPPES record for Cottonwood Clinic, LLC was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.