ROBERT D NITSCHELM MD
NPI 1598719064
Family Medicine in Kalispell, MT

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
160 HERITAGE WAY STE 202, KALISPELL, MT 59901(406) 752-8433(406) 756-6768 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 26, 2020, Aug 17, 2017 (3 updates tracked since 2017).

About Robert D Nitschelm Md NPPES

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

ROBERT D NITSCHELM MD (NPI 1598719064) is an individual family medicine provider in Kalispell, Montana, licensed in Montana (11780) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (1995).

NPPES Registry Identity

NPI1598719064
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT D NITSCHELMCredential: MD
Location Address160 HERITAGE WAY STE 202Kalispell, MT 59901-3127
Mailing Address160 Heritage Way Ste 202Kalispell, MT 59901-3127 · (406) 752-8433 · Fax (406) 756-6768
Fax(406) 756-6768
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1995
Enumeration DateMay 20, 2006
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
NPI 1598719064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MT · 11780 Licensed in SD · 4431
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
160 HERITAGE WAY STE 202, Kalispell, MT 59901

Other Identifiers 6

Other0005763SD · Wellmark
Other080155590SD · Rr Medicare
Medicaid5610078SD
Other4431SD · Dakotacare
Medicaid5610075SD
Other0005747SD · Wellmark

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

Robert D Nitschelm Md 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 ID2567362544
PECOS Enrollment IDI20080807000499
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 28

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
565 services243 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
388 services238 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
203 services171 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
179 services152 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
171 services140 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
155 services155 patients

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, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271336
Location1600 Hospital WayWhitefish, MT 59937 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers38 claims75 services$5.43 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims5,635 services$0.45 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$16.37 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$18.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$8.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers26 claims26 services$43.87 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.

Family Medicine
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Physician Assistant
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Physician Assistant (Medical)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Family Medicine
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Physician Assistant
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Primary Care)
160 HERITAGE WAY STE 202
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 Robert Nitschelm's NPI number?

The NPI number for Robert Nitschelm is 1598719064. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Robert Nitschelm located?

Robert Nitschelm practices at 160 Heritage Way Ste 202, Kalispell, MT 59901. The listed phone number is (406) 752-8433.

What is Robert Nitschelm's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Nitschelm enrolled in Medicare?

Yes. Robert Nitschelm 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 Robert Nitschelm accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Robert Nitschelm 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 Robert Nitschelm affiliated with any hospitals?

According to CMS data, Robert Nitschelm is affiliated with Logan Health Medical Center and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for Robert Nitschelm was last updated on November 27, 2023. 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.