NPIMap

Individual provider Active NPI

Kelly Guy Schultz, PA-C

  • Physician Assistant
  • Kalispell, MT
National Provider Identifier
1295505865
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
132226 Issued in MT
Practice address
1035 1St Ave W Ste 210
Kalispell, MT 59901-5607
Phone
(406) 607-4900
NPI assigned
Jan 4, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 132226 MT Primary

Addresses

Primary practice location

1035 1St Ave W Ste 210
Kalispell, MT 59901-5607

Mailing address

2313 Kismet CT
Kalispell, MT 59901-9073
Phone (541) 324-6113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229003186 MT Practitioner - Physician Assistant 0446695464 Reassigns benefits to 2 organizations

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
Mednorth Kalispell Urgent Care Clinic, LLCGroup PAC ID 3274680673, 7 clinicians

Practice addresses (Care Compare)

124 3Rd Ave E
Kalispell, MT 59901-4530
Phone (406) 607-4900

2316 US Hwy 93 N
Kalispell, MT 59901-2547
Phone (406) 755-5661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132226MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Flathead Community Health Center, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

1035 1st Ave W
Kalispell, MT 59901
Phone (406) 751-8105

1035 1st Ave W
Ste 210
Kalispell, MT 59901
Phone (406) 607-4900

124 3rd Ave E
Kalispell, MT 59901
Phone (406) 607-4900

Organizations & group practices 3

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 7

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": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1295505865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 KISMET CT",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599019073",
            "telephone_number": "541-324-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE W STE 210",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-607-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KELLY",
        "middle_name": "GUY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "132226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.