Individual ProviderKelly EarleNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904(406) 414-5512(406) 414-5000PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Earle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1104410745Provider TypeIndividualFull NameEarle, KellyTitleDr.CredentialDNP, APRN, FNC-CGenderFemaleSole ProprietorYesEnumeration Date2/24/2021Last Updated4/9/2025Contact InformationPractice LocationPractice Address935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904Phone(406) 414-5512FaxUnlisted FaxMailing LocationMailing Address915 Highland Blvd, Bozeman, MT 59715-6902Phone(406) 414-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNUR-APRN-LIC-165997Montana