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KODI DANIELLE TALL BULL
NPI 1902302680
Nurse Practitioner - Family in Missoula, MT

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
2230 N RESERVE ST STE 402, MISSOULA, MT 59808(406) 721-0533(406) 728-4463 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kodi Danielle Tall Bull NPPES

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

KODI DANIELLE TALL BULL (NPI 1902302680) is an individual family provider in Missoula, Montana, licensed in Montana (NUR-APRN-LIC-129860) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902302680
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKODI DANIELLE TALL BULL
Location Address2230 N RESERVE ST STE 402Missoula, MT 59808-1364
Mailing Address2827 Fort Missoula RdMissoula, MT 59804-7408 · (406) 327-3805 · Fax (406) 327-4480
Phone(406) 721-0533
Fax(406) 728-4463
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 2, 2018
✔ NPI 1902302680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MT · NUR-APRN-LIC-129860
2230 N RESERVE ST STE 402, Missoula, MT 59808
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans, 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

Kodi Danielle Tall Bull 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 ID3173888328
PECOS Enrollment IDI20250729004510
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.

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 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
$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 6

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

SHARON MARIE HERNDON MSN, RN, CNP
Nurse Practitioner
2230 N RESERVE ST STE 402
MISSOULA, MT 59808
Missoula County (406) 493-3110
MARY PANNILL STUART MCINTYRE FNP-BC
Nurse Practitioner (Primary Care)
2230 N RESERVE ST STE 402
MISSOULA, MT 59808
Missoula County (406) 721-0533
SCOTT M DOHERTY PA
Physician Assistant
2230 N RESERVE ST STE 402
MISSOULA, MT 59808
Missoula County (406) 721-0533
MELANIE MARIE SCOTT DO
Family Medicine
2230 N RESERVE ST STE 402
MISSOULA, MT 59808
Missoula County (406) 493-3120
CELIA ELLEN SEMRAD PA-C
Physician Assistant (Medical)
2230 N RESERVE ST STE 402
MISSOULA, MT 59808
Missoula County (406) 721-0533
BRIANNA MEW D.O.
Family Medicine
2230 N RESERVE ST STE 402
MISSOULA, MT 59808
Missoula County (406) 493-3120

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 Kodi Tall Bull's NPI number?

The NPI number for Kodi Tall Bull is 1902302680. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Kodi Tall Bull located?

Kodi Tall Bull practices at 2230 N Reserve St Ste 402, Missoula, MT 59808. The listed phone number is (406) 721-0533.

What is Kodi Tall Bull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kodi Tall Bull enrolled in Medicare?

Yes. Kodi Tall Bull 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 Kodi Tall Bull accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Kodi Tall Bull 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 Kodi Tall Bull affiliated with any hospitals?

According to CMS data, Kodi Tall Bull is affiliated with St. Patrick Hospital.

When was this NPI record last updated?

The NPPES record for Kodi Tall Bull was last updated on April 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.