NICOLE MARIE BOTHMAN
NPI 1437717360
Nurse Practitioner - Family in Libby, MT
About Nicole Marie Bothman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MARIE BOTHMAN (NPI 1437717360) is an individual family provider in Libby, Montana, licensed in Montana (145254) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains a secondary practice location in Kalispell.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Nicole Marie Bothman 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Bothman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Libby, MT 59923
- Reassigned Medicare billing, Montana enrollment
- 483 clinicians in this Medicare group
Libby, MT 59923
- Reassigned Medicare billing, Montana enrollment
- Medicare enrollment name: St Johns Lutheran Hospital Inc
- 67 clinicians in this Medicare group
Libby, MT 59923
- Reassigned Medicare billing, Montana enrollment
- 6 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Logan Health Medical Center
Acute Care Hospitals · Kalispell, MTCabinet Peaks Medical Center
Critical Access Hospitals · Libby, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 59923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Bothman's NPI number?
The NPI number for Nicole Bothman is 1437717360. It was assigned to this individual provider in the NPPES registry on June 5, 2019.
Where is Nicole Bothman located?
Nicole Bothman practices at 308 Louisiana Ave Ste 1, Libby, MT 59923. The listed phone number is (406) 283-6800.
What is Nicole Bothman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Bothman enrolled in Medicare?
Yes. Nicole Bothman 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 organizations bill Medicare for Nicole Bothman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bothman reassigns Medicare benefits to 3 organizations: Kalispell Regional Medical Center Inc (Libby, MT), St. John's Lutheran Hospital, Inc. (Libby, MT) and Family Health & Wellness, Inc. (Libby, MT). Each 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 Nicole Bothman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Bothman accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Nicole Bothman 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 Nicole Bothman affiliated with any hospitals?
According to CMS data, Nicole Bothman is affiliated with Logan Health Medical Center and Cabinet Peaks Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Bothman was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Nicole Marie Bothman · NPI 1437717360
Family physician in Libby, Montana. Individual provider, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1437717360 (Entity type: Individual)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 145254 (Montana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 308 LOUISIANA AVE STE 1, Libby, MT 59923-2159
- **Phone:** (406) 283-6800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kalispell Regional Medical Center Inc (NPI 1427503952, Libby, MT); St. John's Lutheran Hospital, Inc. (NPI 1952312050, Libby, MT); Family Health & Wellness, Inc. (NPI 1275118085, Libby, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1437717360) · Data from the CMS NPPES public registry.