Janice Lea Nystrom , RN, MSN, FNP
Nurse Practitioner • Box Elder, MT
6850 Upper Box Elder Rd
Box Elder, MT 595210000
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 10, 2007; this date does not establish years in practice.
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Published CMS data list 671 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 123 service units.
- 85025 — Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 63 service units.
- 80053 — Blood test, comprehensive group of blood chemicals: 53 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 7,133 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Losartan Potassium — 350 prescription fills, including refills.
- Atorvastatin Calcium — 338 prescription fills, including refills.
- Omeprazole — 329 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 114 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Montana (2024, 142 clinicians with data). Median for this group: 297. Middle half: 95 to 559.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 77 in 2017 to 671 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2024.
Practice Location & Contact Primary Location
6850 Upper Box Elder Rd
Box Elder, MT 595210000
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
116 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $24,108 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $20,000 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
7,259 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$475,268 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Janice Nystrom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Box Elder and Montana
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Montana (2024, 142 clinicians with data). Median for this group: 297. Middle half: 95 to 559.
Too few clinicians listed under Nurse Practitioner in Box Elder have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in Montana (2024, 142 clinicians with data). Median for this group: $22,235. Middle half: $7,818 to $40,398.
Too few clinicians listed under Nurse Practitioner in Box Elder have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Montana (2024, 142 clinicians with data). Median for this group: $16,733. Middle half: $6,443 to $28,018.
Too few clinicians listed under Nurse Practitioner in Box Elder have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Montana (2024, 161 clinicians with data). Median for this group: 475. Middle half: 120 to 1,549.
Too few clinicians listed under Nurse Practitioner in Box Elder have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Montana (2024, 161 clinicians with data). Median for this group: $18,805. Middle half: $1,327 to $123,730.
Too few clinicians listed under Nurse Practitioner in Box Elder have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Nurse Practitioner with a practice address in Box Elder, MT (288 in Montana).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 771% from 77 in 2017 to 671 in 2024.
- 2017: 77
- 2023: 1,124
- 2024: 671
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Medicare-allowed amount
Medicare-allowed amount went from $853 in 2017 to $24,108 in 2024.
- 2017: $853
- 2023: $28,531
- 2024: $24,108
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Paid by Medicare
Paid by Medicare went from $853 in 2017 to $20,000 in 2024.
- 2017: $853
- 2023: $21,271
- 2024: $20,000
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 68% from 4,252 in 2020 to 7,133 in 2024.
- 2020: 4,252
- 2021: 5,175
- 2022: 5,088
- 2023: 7,770
- 2024: 7,133
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30-day fills
30-day fills increased 67% from 4,349 in 2020 to 7,259 in 2024.
- 2020: 4,349
- 2021: 5,258
- 2022: 5,161
- 2023: 7,826
- 2024: 7,259
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Part D drug cost
Part D drug cost increased 72% from $275,976 in 2020 to $475,268 in 2024.
- 2020: $275,976
- 2021: $309,047
- 2022: $335,780
- 2023: $538,362
- 2024: $475,268
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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123 | 78 | $215.38 | $75.88 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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63 | 55 | $36.06 | $7.61 |
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80053
Blood test, comprehensive group of blood chemicals
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53 | 48 | $55.00 | $10.35 |
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83036
Hemoglobin a1c level
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46 | 40 | $47.17 | $9.52 |
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83615
Lactate dehydrogenase (enzyme) level
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44 | 40 | $12.14 | $5.92 |
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84100
Phosphate level
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44 | 40 | $8.86 | $4.65 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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40 | 37 | $58.15 | $13.12 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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39 | 32 | $321.00 | $107.06 |
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81003
Automated urinalysis test
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36 | 33 | $12.11 | $2.20 |
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90480
Admn sarscov2 vacc 1 dose
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36 | 35 | $111.14 | $42.52 |
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G0008
Administration of influenza virus vaccine
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30 | 30 | $37.17 | $31.89 |
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82570
Creatinine level to test for kidney function or muscle injury
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24 | 22 | $24.63 | $5.08 |
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82043
Urine microalbumin (protein) level
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23 | 22 | $25.39 | $5.66 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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20 | 18 | $82.00 | $16.46 |
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90662
Influenza vaccine split virus, preservative free
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16 | 16 | $75.94 | $74.22 |
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90656
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage
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12 | 12 | $43.83 | $21.90 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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11 | 11 | $709.00 | $290.41 |
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G0009
Administration of pneumococcal vaccine
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11 | 11 | $35.91 | $31.89 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 350 | 9,183 | $2,280.08 | 34 |
| Atorvastatin Calcium | Atorvastatin Calcium | 338 | 8,228 | $1,778.49 | 34 |
| Omeprazole | Omeprazole | 329 | 8,145 | $3,150.08 | 36 |
| Levothyroxine Sodium | Levothyroxine Sodium | 288 | 6,465 | $1,688.41 | 23 |
| Lisinopril | Lisinopril | 228 | 6,066 | $810.60 | 25 |
| Simvastatin | Simvastatin | 218 | 6,540 | $1,561.85 | 24 |
| Metoprolol Succinate | Metoprolol Succinate | 210 | 6,274 | $1,494.52 | 24 |
| Metformin Hcl | Metformin Hcl | 175 | 4,099 | $987.51 | 18 |
| Amlodipine Besylate | Amlodipine Besylate | 174 | 4,906 | $511.69 | 21 |
| Gabapentin | Gabapentin | 166 | 3,480 | $1,433.35 | 13 |
| Pantoprazole Sodium | Pantoprazole Sodium | 165 | 3,527 | $983.06 | 15 |
| Carvedilol | Carvedilol | 151 | 2,221 | $717.63 | — |
| Montelukast Sodium | Montelukast Sodium | 133 | 3,630 | $1,573.25 | 12 |
| Metformin Hcl Er | Metformin Hcl | 131 | 3,604 | $626.50 | 12 |
| Furosemide | Furosemide | 129 | 2,406 | $512.76 | 12 |
| Ventolin Hfa | Albuterol Sulfate | 121 | 2,694 | $7,323.52 | 14 |
| Lidocaine | Lidocaine | 121 | 2,543 | $7,213.76 | 18 |
| Jardiance | Empagliflozin | 120 | 3,318 | $69,801.40 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 118 | 3,542 | $543.53 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 116 | 2,411 | $1,985.03 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 107 | 3,120 | $397.48 | 12 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 103 | 3,010 | $1,003.01 | 12 |
| Eliquis | Apixaban | 98 | 1,903 | $39,892.31 | — |
| Duloxetine Hcl | Duloxetine Hcl | 94 | 1,755 | $558.78 | — |
| Alendronate Sodium | Alendronate Sodium | 87 | 1,225 | $420.49 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-01-30NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20050128000810
MT
7012967896
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Dentist
Doctor of Dental Medicine
Dentist
RNBSNDDS
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Dentist - General Practice
Doctor of Dental Surgery
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: MT 40604803)
Registered at 6850 UPPER BOX ELDER RD, BOX ELDER, MT 595210000 (Tel: 4063954486)
Registered at 6850 UPPER BOX ELDER RD, BOX ELDER, MT 595210000 (Tel: 4063954486)
Recorded as JANICE NYSTROM, RN, MSN, FNP
NPI status registered as active in NPPES database
Registered at RR 1 BOX 664, BOX ELDER, MT 595219797 (Tel: 4063954486)
Registered at RR 1 BOX 664, BOX ELDER, MT 595219797 (Tel: 4063954486)
Recorded as JANICE NYSTROM, NURSE PRACTITIONER
Nurse Practitioner (license number reported to NPPES: MT RN23489)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
6850 Upper Box Elder Rd
Box Elder, MT 595210000
Phone: 4063954486