Kayla Gordon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MED-PAC-LIC-146532 Issued in MT

Practice address

1307 Harrison Ave
Butte, MT 59701-4801

Phone

(406) 792-3001

NPI assigned

Mar 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, ID2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Health and Wellness, LLCGroup PAC ID 4082500889, 28 clinicians

Turnwell Mental Health of Montana PCGroup PAC ID 6305203530, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St James Hospital Hospital, Butte, MT, CCN 270017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Turnwell Mental Health of Montana, PC

  • Psychiatry Physician
  • Billings, MT
  • NPI 1265133292
  Medicare reassignment Care Compare group NPD
• Peak Health & Wellness, LLC

  • Urgent Care Clinic/Center
  • Belgrade, MT
  • NPI 1073669461
  Medicare reassignment Care Compare group
• Sterling Provider Group

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
  • NPI 1205300407
  Medicare reassignment NPD
• Urgent Care Associates PLLC

  • Preferred Provider Organization
  • Idaho Falls, ID
  • NPI 1609046408
  NPD

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

• St James Healthcare

  • General Acute Care Hospital
  • Butte, MT
  • NPI 1528037215
  Care Compare affiliation
• St. James Healthcare

  • Clinical Medical Laboratory
  • Butte, MT
  • NPI 1023355849

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1104624535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 FORESTGLEN DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-792-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-146532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Street Clinic
• Rosalyn Gone, LCSW
• Alina Lee Gonzales, LMT
• Dale Good Gun
• Dawn Gordon-Wilcox, IBCLC
• Deborah Jean Gorman, ESTHETCIAN,
• Mianne Graa, N.P.
• Wendy Terese Grace, MD
• Beverley Gransbery, MS, PT
• Greenwood Assisted Living

• Physician Assistant in Butte, MT
• Providers in Butte, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.