Individual provider Active NPI

Maureen Leslie Kunz, PA-C

  • Medical Physician Assistant
  • Kalispell, MT
National Provider Identifier
1184793887
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51991 Issued in MT
Practice address
175 Commons Loop
Suite 300
Kalispell, MT 59901-1904
Phone
(406) 756-7555
Fax
(406) 756-7517
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 51991 MT Primary

Addresses

Primary practice location

175 Commons Loop
Suite 300
Kalispell, MT 59901-1904

Mailing address

175 Commons Loop
Suite 300
Kalispell, MT 59901-1904
Phone (406) 756-7555

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
I20170216001168 MT Practitioner - Physician Assistant 4688664089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PLLPGroup PAC ID 5193617223, 9 clinicians

Practice addresses (Care Compare)

175 Commons Loop
Suite 300
Kalispell, MT 59901-1904
Phone (406) 755-7555

Merit-based Incentive Payment System (MIPS)

Final score
92.81 of 100Reported as individual
Quality
85.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51991MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1184793887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP",
            "address_2": "SUITE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-756-7555",
            "fax_number": "406-756-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP",
            "address_2": "SUITE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-756-7555",
            "fax_number": "406-756-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "MAUREEN",
        "middle_name": "LESLIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "51991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.