Individual provider Active NPI

Joy A. Eshleman, PAC

  • Physician Assistant
  • Worden, MT
National Provider Identifier
1174675128
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
151 Issued in MT
Practice address
2469 Main St
Worden, MT 59088-2227
Phone
(406) 967-2255
Fax
(406) 967-2251
NPI assigned
Jan 18, 2007
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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 151 MT Primary

Addresses

Primary practice location

2469 Main St
Worden, MT 59088-2227

Mailing address

PO Box 246
Worden, MT 59088-0246
Phone (406) 967-2255

Other identifiers 2

IdentifierTypeStateIssuer
0432956OtherMTMDCD PIN
000091473OtherMTBCBS PIN

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
I20071226000486 MT Practitioner - Physician Assistant 3375633639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 S 27TH St
Billings, MT 59101-4227
Phone (406) 247-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowstone City-County Health Department CurrentSince Dec 3, 2007 Accepting new patients
Worden Fire Department, Inc CurrentSince Mar 28, 2011 Accepting new patients
Yellowstone City-County Health Dept CurrentSince Dec 3, 2007 Accepting new patients

Locations

123 S 27th St
Billings, MT 59101
Phone (406) 247-3200

2469 Main St
Worden, MT 59088
Phone (406) 967-2255

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1174675128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "WORDEN",
            "state": "MT",
            "postal_code": "590880246",
            "telephone_number": "406-967-2255",
            "fax_number": "406-967-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 MAIN ST",
            "city": "WORDEN",
            "state": "MT",
            "postal_code": "590882227",
            "telephone_number": "406-967-2255",
            "fax_number": "406-967-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHLEMAN",
        "first_name": "JOY",
        "middle_name": "A.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "0432956",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000091473",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worden, MT

Sources for this page

Verify at the official NPI Registry.