CLAIRE E NICKLESS PA-C
NPI 1528570934
Physician Assistant in Missoula, MT

Active since October 26, 2017PECOS EnrolledAccepts Medicare Assignment
500 W BROADWAY ST, MISSOULA, MT 59802(406) 543-7271(406) 327-1834 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Nov 23, 2020, Oct 26, 2017 (3 updates tracked since 2017).

About Claire E Nickless Pa-c NPPES

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

CLAIRE E NICKLESS PA-C (NPI 1528570934) is an individual physician assistant in Missoula, Montana, licensed in Montana (60002) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains a secondary practice location in Polson.

NPPES Registry Identity

NPI1528570934
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLAIRE E NICKLESSCredential: PA-C
Location Address500 W BROADWAY STMissoula, MT 59802-4008
Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (406) 543-7271
Fax(406) 327-1834
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2017
Enumeration DateOctober 26, 2017
Last NPPES UpdateJune 22, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1528570934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MT · 60002
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 W BROADWAY ST, Missoula, MT 59802

Secondary Practice Location 1

Location 1107 Ridgewater Dr Ste APolson, MT 59860-8977 · Phone (406) 883-3737 · Fax (406) 883-2669

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

Claire E Nickless Pa-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 ID1557627858
PECOS Enrollment IDI20171101003379
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
274 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services80 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services88 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
80 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 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
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$113.28 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 20

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

Internal Medicine (Clinical Cardiac Electrophysiology)
500 W BROADWAY ST, STE 320
MISSOULA, MT 59802
General Acute Care Hospital
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Internal Medicine (Nephrology)
500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST
MISSOULA, MT 59802

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 Claire Nickless's NPI number?

The NPI number for Claire Nickless is 1528570934. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Where is Claire Nickless located?

Claire Nickless practices at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 543-7271.

What is Claire Nickless's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Claire Nickless enrolled in Medicare?

Yes. Claire Nickless 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 Claire Nickless accept?

Health plans from Blue Cross and Blue Shield of Montana list Claire Nickless 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 Claire Nickless affiliated with any hospitals?

According to CMS data, Claire Nickless is affiliated with St. Patrick Hospital.

When was this NPI record last updated?

The NPPES record for Claire Nickless was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.