MARCUS NICOLA NP
NPI 1730672866
Nurse Practitioner in Billings, MT

Q: What is Marcus Nicola's NPI number?

The NPI number for Marcus Nicola is 1730672866. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Marcus Nicola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Nicola was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

2900 12TH AVE N STE 204E, BILLINGS, MT 59101(406) 237-5001(406) 237-5010 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2018, Jun 13, 2018 (2 updates tracked since 2018).

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About Marcus Nicola Np NPPES

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

MARCUS NICOLA NP (NPI 1730672866) is an individual nurse practitioner in Billings, Montana, licensed in Montana (131767) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730672866

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMARCUS NICOLACredential: NP

Location Address2900 12TH AVE N STE 204EBillings, MT 59101

Mailing Address2900 12th Ave N Ste 204eBillings, MT 59101-7502 · (406) 237-5001 · Fax (406) 237-5010

Phone(406) 237-5001

Fax(406) 237-5010

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 13, 2018

Last NPPES UpdateAugust 10, 20182 updates tracked since enumeration

✔ NPI 1730672866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MT · 131767

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2900 12TH AVE N STE 204E, Billings, MT 59101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP and more.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

Marcus Nicola Np 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 ID8325941149

PECOS Enrollment IDI20230420000420

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 6

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.

195 services139 patients

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.

173 services106 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.

32 services32 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

22 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270049

Location1233 N 30th StBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Cody Regional Health

Critical Access Hospitals · Cody, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531312

Location707 Sheridan AvenueCody, WY 82414 · Park County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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.

Other Providers at the Same Location NPPES 5

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

CHRISTOPHER ANZALONE D.O.

Internal Medicine (Cardiovascular Disease)