Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicholas Alan Mantini

Individual provider Electrodiagnostic Medicine Physician · NPI 1588808646

Dr. Nicholas Alan Mantini is a Cardiac Electrophysiology in Missoula, Montana. Qualified in 2009, 17 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
17
Licensed in
MT
In the registry since
2009
Specialties on file
2

Practice location Address checks out

500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone: (406) 329-5615
Fax: (406) 329-5606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 — (404) 616-6779

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence MED-PHYS-LIC-86861 (MT)
Electrodiagnostic Medicine Physician Taxonomy 204R00000X · Licence MED-PHYS-LIC-86861 (MT)

Record details

NPI number1588808646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2009
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services