ANDREA LAPP NP
NPI 1942969431
Nurse Practitioner in Billings, MT

Active since December 11, 2021PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
801 N 29TH ST, BILLINGS, MT 59101(406) 238-2000 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2022, Jan 3, 2022, Dec 11, 2021 (3 updates tracked since 2021).

About Andrea Lapp Np NPPES

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

ANDREA LAPP NP (NPI 1942969431) is an individual nurse practitioner in Billings, Montana, licensed in Montana (NUR-APRN-LIC-188577) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942969431
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA LAPPCredential: NP
Location Address801 N 29TH STBillings, MT 59101-0905
Mailing AddressPo Box 35100Billings, MT 59107-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 11, 2021
Last NPPES UpdateFebruary 24, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
NPI 1942969431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MT · NUR-APRN-LIC-188577
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.
801 N 29TH ST, Billings, MT 59101

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

Andrea Lapp 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 ID8224420674
PECOS Enrollment IDI20220118000351
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 7

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 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.
228 services182 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.
72 services66 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.
68 services68 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.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Glendive Medical Center

Critical Access Hospitals · Glendive, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271332
Location202 Prospect DrGlendive, MT 59330 · Dawson County
Emergency services

Central Montana Medical Center

Critical Access Hospitals · Lewistown, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271345
Location408 Wendell AveLewistown, MT 59457 · Fergus County
Emergency services

Washakie Medical Center

Critical Access Hospitals · Worland, WY
OwnershipGovernment - Local
CMS Certification Number531306
Location400 South 15th StreetWorland, WY 82401 · Washakie County
Emergency services

Powell Valley Hospital

Critical Access Hospitals · Powell, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531310
Location777 Avenue HPowell, WY 82435 · 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Obstetrics & Gynecology (Gynecologic Oncology)
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant
801 N 29TH ST
BILLINGS, MT 59101
Occupational Therapist
801 N 29TH ST
BILLINGS, MT 59101
Ophthalmology
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Family Medicine
801 N 29TH ST
BILLINGS, MT 59101

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 Andrea Lapp's NPI number?

The NPI number for Andrea Lapp is 1942969431. It was assigned to this individual provider in the NPPES registry on December 11, 2021.

Where is Andrea Lapp located?

Andrea Lapp practices at 801 N 29th St, Billings, MT 59101. The listed phone number is (406) 238-2000.

What is Andrea Lapp's specialty?

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

Is Andrea Lapp enrolled in Medicare?

Yes. Andrea Lapp 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 Andrea Lapp accept?

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

According to CMS data, Andrea Lapp is affiliated with Billings Clinic, Glendive Medical Center, Central Montana Medical Center, Washakie Medical Center and Powell Valley Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Lapp was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.