Kristine Marie Lippert, PA-C
Individual provider Active NPI Physician Assistant · Billings, MT
NPI 1144528258 · NPPES record last updated Jan 20, 2020
Key facts
- NPI
- 1144528258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 654 (MT)
- Practice address
- 1041 N. 29TH Street
Billings, MT 59101 - Phone
- (406) 237-5577
- Fax
- (406) 237-5575
- NPI assigned
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SCL Health Montana
Practice addresses (Care Compare)
1041 N 29TH St
Billings, MT 59101-0731
Phone (303) 237-5577
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3850
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 |
|---|---|---|---|---|
| I20120329000720 | MT | Practitioner - Physician Assistant | 9638339583 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 654 | MT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Current |
Accepting new patients | |
| SCL Health Montana | Current |
Accepting new patients | |
| SCL Health Montana | Current |
Accepting new patients | |
| St. Vincent Healthcare | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200
1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577
2900 12th Ave N
Ste 340W
Billings, MT 59101
Phone (406) 237-5760
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
1700 11th St W
Williston, ND 58801
Phone (701) 310-5090
1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641
Interoperability endpoints
- klippert44112@direct.intermountainhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 654 | MT | Yes |
Addresses
Primary practice location
1041 N. 29TH Street
Billings, MT 59101
Mailing address
1041 N. 29TH Street
Billings, MT 59101
Phone (406) 237-5577
Other names
- Kristine M Crowell
NPI Registry JSON
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1144528258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 N. 29TH STREET",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59101",
"telephone_number": "406-237-5577",
"fax_number": "406-237-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 N. 29TH STREET",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59101",
"telephone_number": "406-237-5577",
"fax_number": "406-237-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPERT",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "CROWELL",
"middle_name": "M",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Billings, MT
- Ronald L Linfesty
- Rob Lininger
- Janice Marie Linn
- Janet Linse-Frost
- Jennifer Linton
- Sandra Lippy
- Lisa M. Coate, LCSW, LLC
- Lisa Matovich Brooke Counseling Inc
- Angelique Little Light
- Megan B Littlefield
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 Jan 20, 2020. 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.