Look up the most recent NPI and PECOS records

Kristi Thane King

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1695 Tschache Ln, Bozeman, MT 59715-7965

PECOS Enrollment

This provider is enrolled in PECOS as KRISTI KING.

Based on the most recent information from CMS, provider Kristi Thane King is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1841525607
Provider Type
Individual
Full Name
King, Kristi Thane
Title
Ms.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/13/2009
Last Updated
12/8/2025

Contact Information

Practice Location

1695 Tschache Ln, Bozeman, MT 59715-7965

(406) 585-1360

Unlisted Fax

Mailing Location

1695 Tschache Ln, Bozeman, MT 59715-7965

(406) 585-1360

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NUR-APRN-LIC-100476 Montana

Provider Identifiers

ID	Description	Issuer
ID 376751500	Description Medicaid	Issuer Unlisted Maryland

Kristi Thane King

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kirk, Meghan A

Ayala, Ana Adelina

Smith, Hillary Annette

Marx, Crystal Joy

Chandler, Nyla S

Overstreet, Jordan Marie

Georgeton, Chloe Marie

Cook, Mary

Carlson, Leslie Ann

Nassar, Sherri L