Individual provider Active NPI

Cynthia M Carter, PA-C

  • Medical Physician Assistant
  • Bozeman, MT
National Provider Identifier
1205074648
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
556 Issued in MT
Practice address
905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901
Phone
(406) 556-5220
Fax
(406) 556-5205
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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 556 MT Primary

Addresses

Primary practice location

905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901

Mailing address

905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901
Phone (406) 556-5220

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
I20100817001675 MT Practitioner - Physician Assistant 9830223478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Intercity Imaging LLCGroup PAC ID 0941238042, 13 clinicians

Practice addresses (Care Compare)

905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901
Phone (406) 556-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.66 of 100Reported as group
Quality
87.31
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
556MTMDMedical Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1205074648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND BLVD",
            "address_2": "SUITE 4100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156901",
            "telephone_number": "406-556-5220",
            "fax_number": "406-556-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND BLVD",
            "address_2": "SUITE 4100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156901",
            "telephone_number": "406-556-5220",
            "fax_number": "406-556-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.