Kortney Ann Gaughan, PA-C
Individual provider Active NPI Physician Assistant · Billings, MT
NPI 1013780402 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1013780402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 129815 (MT)
- Practice address
- 2900 12TH Ave N Ste 160W
Billings, MT 59101-7508 - Phone
- (406) 237-4580
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SCL Health Medical Group - Billings LLC
Practice addresses (Care Compare)
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913
16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270
2900 12TH Ave N
Suite 160W
Billings, MT 59101-7508
Phone (406) 237-8500
2900 12TH Ave N
Suite 310W
Billings, MT 59101-7588
Phone (406) 238-6900
Hospital & facility affiliations
- Intermountain Health St Vincent Regional Hospital
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 |
|---|---|---|---|---|
| I20231221003791 | MT | Practitioner - Physician Assistant | 6507216181 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings LLC | Current |
Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Current |
Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 129815 | MT | Yes |
Addresses
Primary practice location
2900 12TH Ave N Ste 160W
Billings, MT 59101-7508
Mailing address
1629 Saint Johns Ave
Billings, MT 59102-5133
Phone (406) 672-9315
Other providers in Billings, MT
- Jonathan Gaston
- Kathryn Gates
- Gatlin Counseling Services LLC
- Erik Lee Gatlin
- Bethany Marie Gaub
- Cheyenne Gehnert
- Melissa S Geiger
- Ashley Geis
- Anne Genereux
- Genoa Healthcare LLC
All providers in Billings, 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 Nov 6, 2023. 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.