Active NPI
Mackenzie Leigh Epler, PA-C
- Physician Assistant
- Missoula, MT
National Provider Identifier
1275934333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 34402
- Practice address
- 601 W Spruce St
Missoula, MT 59802-4057 - Phone
- (406) 327-3350
- Fax
- (406) 327-3355
- NPI assigned
- Sep 9, 2014
- Last updated
- Aug 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 34402 | MT | Primary |
Addresses
Primary practice location
601 W Spruce St
Missoula, MT 59802-4057
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 329-4142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 Madison St
Suite 401
Seattle, WA 98104-1172
Phone (360) 491-8002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34402 | MT | MD | Physician Assistant |
Interoperability endpoints
- mackenzie.epler.1@32851.direct.athenahealth.com
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.
-
dba Seattle Clinical Services
- Psychiatry Physician
- Seattle, WA
- NPI 1609036490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1275934333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "406-329-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024057",
"telephone_number": "406-327-3350",
"fax_number": "406-327-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPLER",
"first_name": "MACKENZIE",
"middle_name": "LEIGH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "34402",
"primary": true
}
],
"identifiers": [],
"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 Aug 15, 2017; 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.