Nicole Marie Bothman
NPI 1437717360ActiveIndividual· Nurse Practitioner, Family· Libby, MT
Nurse Practitioner, Family with Kalispell Regional Medical Center Inc and 2 other groups, practicing in Libby, Montana. Their prescriptions cost Medicare Part D more than their services did: $2,568 for 68 claims, against $970.79 paid for services in 2024. Lists Cabinet Peaks Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1437717360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 5, 2019 |
| Last updated in NPPES | Mar 17, 2026 |
| Certified by provider | Mar 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 145254 | MT |
| Nurse Practitioner | 363L00000X | NUR-APRN-APP-144934 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 17 across 11 procedure codes |
| Paid by Medicare | $970.79 |
Part D prescriptions in 2024
| Prescriptions (claims) | 68 · 72 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $2,568 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Kalispell Regional Medical Center IncKalispell, MT · 421 clinicians
- St Johns Lutheran Hospital IncLibby, MT · 34 clinicians
- Family Health and Wellness IncLibby, MT · 7 clinicians
Hospital affiliations
- Cabinet Peaks Medical CenterLibby, MT
- Logan Health Medical CenterKalispell, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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