Individual provider Active NPI

Lisa Michelle Weinreich, PA-C

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1285902767
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
677 Issued in MT
Practice address
219 E Main St
Missoula, MT 59802-4423
Phone
(406) 728-5490
Fax
(406) 728-5497
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 677 MT Primary

Addresses

Primary practice location

219 E Main St
Missoula, MT 59802-4423

Mailing address

PO Box 7024
Missoula, MT 59807-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120312000400 MT Practitioner - Physician Assistant 9335308352 Reassigns benefits to 2 organizations
I20190701001307 WA Practitioner - Physician Assistant 9335308352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Gastroenterology, PLLCGroup PAC ID 7618396318, 23 clinicians

Practice addresses (Care Compare)

1930 W Broadway St
Suite a
Missoula, MT 59808-1960
Phone (406) 541-6844

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • Clark Fork Valley Hospital Hospital, Plains, MT, CCN 271323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
677MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 13, 2019 Accepting new patients
Western Montana Clinic PC CurrentSince Jun 9, 2014 Accepting new patients
Multicare Health System CurrentSince May 13, 2019 Accepting new patients

Locations

500 W Broadway St
Ste A
Missoula, MT 59802
Phone (406) 284-5560

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: lisa.weinreich@165427463913476.direct.elationemr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1285902767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7024",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598077024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024423",
            "telephone_number": "406-728-5490",
            "fax_number": "406-728-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINREICH",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.