Individual provider Active NPI

Denae Kaitlyn McClure, PA-C

  • Physician Assistant
  • Billings, MT
National Provider Identifier
1104549278
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2900 12TH Ave N Ste 140W
Billings, MT 59101-7507
Phone
(406) 238-6726
Fax
(406) 272-3395
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 140W
Billings, MT 59101-7507

Mailing address

PO Box 129
Roy, MT 59471-0129
Phone (406) 366-5677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221223001033 MT Practitioner - Physician Assistant 9436529088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians
Ortho Montana, PSCGroup PAC ID 5193627404, 41 clinicians

Practice addresses (Care Compare)

1400 29TH St S
Great Falls, MT 59405-5315
Phone (406) 454-2171

1739 Spring Creek Dr
Billings, MT 59102-6747
Phone (406) 237-5050

2900 12TH Ave N
Suite 140W
Billings, MT 59101-7507
Phone (406) 238-6325

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Hospital & facility affiliations

  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049
  • Central Montana Medical Center Hospital, Lewistown, MT, CCN 271345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Montana, PSC CurrentSince Nov 14, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2900 12th Ave N
Ste 140W
Billings, MT 59101
Phone (406) 237-5050

1739 Spring Creek Rd
Billings, MT 59102
Phone (406) 237-5050

Interoperability endpoints

  • Direct secure messaging: denae.mcclure@1146.chartlogic.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1104549278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "ROY",
            "state": "MT",
            "postal_code": "594710129",
            "telephone_number": "406-366-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 140W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017507",
            "telephone_number": "406-238-6726",
            "fax_number": "406-272-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "DENAE",
        "middle_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.