NICOLE MARIE BOTHMAN
NPI 1437717360
Nurse Practitioner - Family in Libby, MT

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment
89.75/100
CMS Quality Rating
308 LOUISIANA AVE STE 1, LIBBY, MT 59923(406) 283-6800 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Jun 11, 2019, Jun 5, 2019 (3 updates tracked since 2019).

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 Cabinet Peaks Medical Center, and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1437717360
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE BOTHMAN
Location Address308 LOUISIANA AVE STE 1Libby, MT 59923-2159
Mailing Address308 Louisiana Ave Ste 1Libby, MT 59923-2159 · (406) 283-6800
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 5, 2019
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
NPI 1437717360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MT · 145254
Also ListedNurse PractitionerTaxonomy 363L00000X · License NUR-APRN-APP-144934 (MT)
308 LOUISIANA AVE STE 1, Libby, MT 59923

Secondary Practice Location 1

Location 11333 Surgical Services DriveKalispell, MT 59901 · Phone (406) 751-5406 · Fax (406) 257-8996

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

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.

PECOS PAC ID5799015996
PECOS Enrollment IDI20191002000671
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.

Hospital Affiliations CMS Care Compare

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

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271320
Location209 Health Park DrLibby, MT 59923 · Lincoln County
Emergency services

Physician 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.

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.

89.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.04
Promoting Interoperability94
Improvement Activities40

Other Providers at the Same Location NPPES

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

Surgery
308 LOUISIANA AVE STE 1
LIBBY, MT 59923

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.

What insurance does Nicole Bothman accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP 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 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 4 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.