ANDREA BUCKINGHAM
NPI 1306713391
Dietitian, Registered in Kalispell, MT

Active since October 22, 2025
430 WINDWARD WAY STE 100, KALISPELL, MT 59901(406) 758-1867 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Buckingham NPPES

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

ANDREA BUCKINGHAM (NPI 1306713391) is an individual dietitian, registered in Kalispell, Montana, licensed in Montana (59718) and active in the NPI registry since October 2025. She is affiliated with Logan Health Medical Center and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306713391
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANDREA BUCKINGHAM
Location Address430 WINDWARD WAY STE 100Kalispell, MT 59901-2619
Mailing Address745 E Oregon StKalispell, MT 59901-3206
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 22, 2025
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1306713391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MT · 59718
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
430 WINDWARD WAY STE 100, Kalispell, MT 59901

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Buckingham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254809635
PECOS Enrollment IDI20260504007694

Medicare Billing Reassignment

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

Clinic/Center
430 WINDWARD WAY STE 100
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 483 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

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Clinic/Center
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Internal Medicine (Endocrinology, Diabetes & Metabolism)
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Dietitian, Registered
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Clinic/Center
430 WINDWARD WAY STE 100
KALISPELL, MT 59901
Clinic/Center (Multi-Specialty)
430 WINDWARD WAY STE 100
KALISPELL, MT 59901

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 Andrea Buckingham's NPI number?

The NPI number for Andrea Buckingham is 1306713391. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Andrea Buckingham located?

Andrea Buckingham practices at 430 Windward Way Ste 100, Kalispell, MT 59901. The listed phone number is (406) 758-1867.

What is Andrea Buckingham's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrea Buckingham enrolled in Medicare?

Yes. Andrea Buckingham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Buckingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Buckingham reassigns Medicare benefits to Kalispell Regional Medical Center Inc (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 Andrea Buckingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Buckingham accept?

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

According to CMS data, Andrea Buckingham is affiliated with Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Buckingham was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.