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

Kristel Kishbaugh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699409995

Kristel Kishbaugh is a Nurse Practitioner in Boulder, Montana. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
4
Licensed in
MT
In the registry since
2022

Practice location Address checks out

207 Edgerton St
Boulder, MT 59632-7724
Phone: (406) 438-6710
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 196230 (MT)

Record details

NPI number1699409995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing addressPo Box 1174, Boulder, MT 59632-1174

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services