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NICOLE RACHELLE SUTTER PA-C
NPI 1669710406
Physician Assistant in Missoula, MT

Active since January 30, 2013PECOS EnrolledAccepts Medicare Assignment
3055 N RESERVE ST STE D, MISSOULA, MT 59808(406) 327-7000(406) 329-1927 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, Apr 9, 2021, Oct 17, 2017 (3 updates tracked since 2017).

About Nicole Rachelle Sutter Pa-c NPPES

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

NICOLE RACHELLE SUTTER PA-C (NPI 1669710406) is an individual physician assistant in Missoula, Montana, licensed in Montana (35302) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Steele Memorial Medical Center, and maintains a secondary practice location in Polson.

NPPES Registry Identity

NPI1669710406
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE RACHELLE SUTTERCredential: PA-C
Location Address3055 N RESERVE ST STE DMissoula, MT 59808-1395
Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (866) 747-2455 · Fax (406) 329-1927
Phone(406) 327-7000
Fax(406) 329-1927
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 30, 2013
Last NPPES UpdateJune 15, 20233 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1669710406 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 · 35302
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.
3055 N RESERVE ST STE D, Missoula, MT 59808
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Other Names 1

Former Name (1)Nicole Rachelle Banfield Pa-c

Secondary Practice Location 1

Location 16 13th Ave EPolson, MT 59860-5315 · Phone (406) 883-5680

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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 Rachelle Sutter 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 ID4486809357
PECOS Enrollment IDI20150506001539
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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
294 services16 patients
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.
64 services52 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
30 services23 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.
27 services25 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
23 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Steele Memorial Medical Center

Critical Access Hospitals · Salmon, ID
OwnershipGovernment - Local
CMS Certification Number131305
LocationP O Box 700Salmon, ID 83467 · Lemhi County
Emergency services

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

Deer Lodge Medical Center

Critical Access Hospitals · Deer Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271314
Location1100 Hollenback LnDeer Lodge, MT 59722 · Powell County
Emergency services

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271325
Location107 6th Ave SWRonan, MT 59864 · Lake County
Emergency services

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271343
Location6 13th Ave EPolson, MT 59860 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59808 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 3

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers39 claims2,040 services$0.33 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers13 claims13 services$18.88 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers50 claims51 services$12.64 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 3

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

BARBARA MAUREEN FOSSEN MOT, OTR/L
Occupational Therapist
3055 N RESERVE ST STE D
MISSOULA, MT 59808
Missoula County (406) 327-1827
MS. PATRICIA MARIE MANGAN P.T., M.S.
Physical Therapist (Orthopedic)
3055 N RESERVE ST STE D
MISSOULA, MT 59808
Missoula County (406) 327-1827
MOLLY LENHART ANDERSON PA-C
Physician Assistant
3055 N RESERVE ST STE D
MISSOULA, MT 59808
Missoula County (406) 327-7000

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 Sutter's NPI number?

The NPI number for Nicole Sutter is 1669710406. It was assigned to this individual provider in the NPPES registry on January 30, 2013. The provider is also known as Nicole Rachelle Banfield Pa-C.

Where is Nicole Sutter located?

Nicole Sutter practices at 3055 N Reserve St Ste D, Missoula, MT 59808. The listed phone number is (406) 327-7000.

What is Nicole Sutter's specialty?

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

Is Nicole Sutter enrolled in Medicare?

Yes. Nicole Sutter 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 Sutter accept?

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

According to CMS data, Nicole Sutter is affiliated with Steele Memorial Medical Center, St. Patrick Hospital, Deer Lodge Medical Center, St Luke Community Hospital and Providence St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Sutter was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.