Active NPI
Kelli Gibbs
- Physician Assistant
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MED-PAC-LIC-573
- Practice address
- 902 N Orange St
Missoula, MT 59802-2928 - Phone
- (406) 329-5736
- Fax
- (406) 329-2941
- NPI assigned
- Mar 20, 2009
- Last updated
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MED-PAC-LIC-573 | MT | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
902 N Orange St
Missoula, MT 59802-2928
Mailing address
PO Box 31001
4114
Pasadena, CA 91110-4114
Phone (406) 329-5736
Other practice location 1
3017 Paxson St
Missoula, MT 59801-8325
Phone (406) 519-3422
Other practice location 2
715 Main St
Stevensville, MT 59870-2846
Phone (406) 777-5522
Other practice location 3
5549 Old Highway 93
Florence, MT 59833-6845
Phone (406) 327-4923
Other practice location 4
3075 N Reserve St Ste Q
Missoula, MT 59808-1390
Phone (406) 327-1750
Other practice location 5
500 W Broadway St Fl 4
Missoula, MT 59802-4008
Phone (406) 327-1900
Other practice location 6
1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone (406) 327-3057
Other practice location 7
601 W Spruce St Ste A
Missoula, MT 59802-4047
Phone (406) 728-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M011004293 | Other | MT | MEDICARE PTAN - |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-4690
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100
500 W Broadway St
Missoula, MT 59802-4003
500 W Broadway St
Missoula, MT 59802-4096
500 W Broadway St 3Rd FL
Missoula, MT 59802-4096
902 N Orange St
Missoula, MT 59802-2928
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Providence Health & Services Mt | Past | Accepting new patients |
Locations
5549 Old US Highway 93
Florence, MT 59833
Phone (406) 273-4923
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2835 Fort Missoula Rd
Ste 204
Missoula, MT 59804
Phone (406) 327-3935
3075 N Reserve St
Ste Q
Missoula, MT 59808
Phone (406) 327-1750
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
902 N Orange St
Missoula, MT 59802
Phone (406) 327-3300
Interoperability endpoints
- kgibbs@direct.communitymed.org
- missoulavalleypmr.kelligibbs@154771.advancedmd-direct.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Missoula, MT
- NPI 1053569525
-
dba St Patrick Hospital Rehab
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Internal Medicine Physician
- Butte, MT
- NPI 1902567183
-
- Physical Medicine & Rehabilitation Physician
- Missoula, MT
- NPI 1982327227
-
dba Community Physician Group
- Family Medicine Physician
- Missoula, MT
- NPI 1376946913
-
dba PMG MT Trauma Services
- Emergency Medical Services (Emergency Medicine) Physician
- Missoula, MT
- NPI 1124268966
-
dba Providence Medical Group Montana
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
dba Community Physician Group
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
-
dba PMG Mt Florence Family Medicine
- Family Medicine Physician
- Florence, MT
- NPI 1669791786
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bitterroot Health - Daly Hospital
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
dba Montana Cancer Center at Providence St. Patrick Hospital
- Medical Oncology Physician
- Missoula, MT
- NPI 1326483587
Hospital
-
dba St Patrick Hospital Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
dba St Patrick Hospital Psych
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
dba Community Medical Center
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1225279227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001",
"address_2": "4114",
"city": "PASADENA",
"state": "CA",
"postal_code": "911104114",
"telephone_number": "406-329-5736",
"fax_number": "406-329-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 N ORANGE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598022928",
"telephone_number": "406-329-5736",
"fax_number": "406-329-2941"
}
],
"practiceLocations": [
{
"address_1": "3017 Paxson St",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598018325",
"country_code": "US",
"telephone_number": "406-519-3422",
"fax_number": "406-203-5110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "715 Main St",
"address_purpose": "LOCATION",
"city": "Stevensville",
"state": "MT",
"postal_code": "598702846",
"country_code": "US",
"telephone_number": "406-777-5522",
"fax_number": "406-777-1175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5549 Old Highway 93",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "MT",
"postal_code": "598336845",
"country_code": "US",
"telephone_number": "406-327-4923",
"fax_number": "406-329-4174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3075 N Reserve St Ste Q",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598081390",
"country_code": "US",
"telephone_number": "406-327-1750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Broadway St Fl 4",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024008",
"country_code": "US",
"telephone_number": "406-327-1900",
"fax_number": "406-327-1974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 S Reserve St Ste 101",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598013103",
"country_code": "US",
"telephone_number": "406-327-3057",
"fax_number": "406-327-3231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W Spruce St Ste A",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024047",
"country_code": "US",
"telephone_number": "406-728-3111",
"fax_number": "406-728-3116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBS",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MED-PAC-LIC-573",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN -",
"identifier": "M011004293",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.