Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Krista Niezwaag, PA-C, DO

Individual provider Emergency Medicine Physician · NPI 1730589300

Dr. Krista Niezwaag, PA-C, DO is an Emergency Medicine in Bozeman, Montana. Qualified in 2022, 4 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Illinois and Montana.

Years since qualifying
4
Licensed in
AZ, IL, MT
In the registry since
2014
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

915 Highland Blvd
Bozeman, MT 59715-6902
Phone: (406) 414-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1625 N Campbell Ave, Tucson, AZ 85719-4330 — (520) 694-0111
  • 600 Mt Highway 91 S, Dillon, MT 59725-7379 — (406) 683-3000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MED-PHYS-LIC-159836 (MT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence R3766 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence MED-PHYS-LIC-159836 (MT)
Physician Assistant Taxonomy 363A00000X · Licence 085005134 (IL)

Record details

NPI number1730589300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , DO
Sole proprietorNo
NPI enumeratedSeptember 2, 2014
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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