Tia Bakker
Individual provider Active NPI Physician Assistant · Kalispell, MT
NPI 1003549478 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1003549478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 160698 (MT)
- Practice address
- 200 Commons Way Ste B
Kalispell, MT 59901-1915 - Phone
- (406) 752-5170
- Fax
- (406) 752-5210
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Wisconsin School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kalispell Regional Medical Center Inc
Practice addresses (Care Compare)
200 Commons Way
Kalispell, MT 59901-1915
310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6725
320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526
350 Heritage Way
Kalispell, MT 59901-3167
Hospital & facility affiliations
- Logan Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250826004472 | MT | Practitioner - Physician Assistant | 7719487339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160698 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current |
Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Past | Accepting new patients |
Locations
200 Commons Way
Ste B
Kalispell, MT 59901
Phone (406) 752-5170
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 160698 | MT | Yes |
Addresses
Primary practice location
200 Commons Way Ste B
Kalispell, MT 59901-1915
Mailing address
248 Sherman LN
Bigfork, MT 59911-6057
Phone (406) 260-1072
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Direct | Kalispell Regional Medical Center Inc |
Other providers in Kalispell, MT
- Shawn Edward Bairefoot
- Megan K Baker Welles
- Geoffrey Baker
- Jeanne M Baker
- Julie Cleverdon Baker
- Noelle Lynn Baldwin
- Sadie Ann Schwenk Baldwin
- Stevia Baldwin
- Brian Bales
- Brittany Ballard
All providers in Kalispell, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.