Timothy N Street, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

143 Issued in MT

Practice address

1600 Division Rd
Great Falls, MT 59404-1921

Phone

(406) 268-1600

Fax

(406) 771-3549

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Falls Clinic LLC 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

Merit-based Incentive Payment System (MIPS)

Final score

90.98 of 100Reported as apm

Quality

80.39

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: timothy.street.1@25095.direct.athenahealth.com

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.

• Great Falls Clinic LLC

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1801897780

  MT

  Medicare reassignment Care Compare group
• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978

  MT

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1285635136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055353",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISION RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041921",
            "telephone_number": "406-268-1600",
            "fax_number": "406-771-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "TIMOTHY",
        "middle_name": "N",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436800",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Storm, M.S., CCC-SLP
• Brittney N Stoverud
• John C Stowers, M.D.
• Adria Marena Strable, DNP-FNP
• Mara Street
• Anna Stremcha, MS, CCC-SLP
• Holly C. Strong, M.D.
• Dustin R Stuart, DO
• Rachael Raeann Stubbs, LCSW
• Madalyn Marie Stucker

• All providers in Great Falls, MT
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.

Verify at the official NPI Registry.