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

Nicole Marie Bothman

Individual provider Family Nurse Practitioner · NPI 1437717360

Nicole Marie Bothman is a Nurse Practitioner in Libby, Montana. Qualified in 2019, 7 years ago. Practices with Family Health and Wellness Inc, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
7
Licensed in
MT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

308 Louisiana Ave Ste 1
Libby, MT 59923-2159
Phone: (406) 283-6800
Show map & directions

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

Additional practice locations (1)

  • 1333 Surgical Services Drive, Kalispell, MT 59901 — (406) 751-5406

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 145254 (MT)
Nurse Practitioner Taxonomy 363L00000X · Licence NUR-APRN-APP-144934 (MT)

Record details

NPI number1437717360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2019
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Family Health And Wellness Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Libby