Active NPI
Michelle Tepper, PA-C
- Surgical Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628 - Phone
- (415) 658-6791
- Fax
- (415) 252-7176
- NPI assigned
- Feb 23, 2007
- Last updated
- Jun 26, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA101142 | MA | |
| Physician Assistant | 363A00000X | 10898 | AZ | |
| Physician Assistant | 363A00000X | MT1222417 | MT | |
| Physician Assistant | 363A00000X | 0010-15459 | NC | |
| Physician Assistant | 363A00000X | PA.0008939 | CO | |
| Surgical Physician Assistant | 363AS0400X | MT | Primary | |
| Physician Assistant | 363A00000X | 12808 | GA | |
| Physician Assistant | 363A00000X | PA10004973 | WA |
Addresses
Primary practice location
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Mailing address
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Other practice location 1
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 656-4255 ext. 207
Other practice location 2
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5681TE | Other | WA | REGENCE BS BILLING # |
| 0208566 | Other | VA | LABOR & INDUSTRIES BILLIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10898 | AZ | MD | Physician Assistant |
| PA.0008939 | CO | MD | Physician Assistant |
| PA101142 | MA | MD | Physician Assistant |
| 0010-15459 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Eastside Emergency Physicians PLLC | Current | Accepting new patients | |
| Wheatland Memorial Healthcare | Current | Accepting new patients | |
| Belgrade Clinic PLLP | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Townsend Health Systems Inc, | Physician Assistant | Current | Accepting new patients |
| Medcor of Barrington, P.C. | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Past | Accepting new patients |
Locations
937 Highland Blvd
Ste 5510
Bozeman, MT 59715
Phone (406) 414-3959
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
925 Highland Blvd
Ste 1100
Bozeman, MT 59715
Phone (406) 414-4550
110 N Oak St
Townsend, MT 59644
Phone (406) 266-3186
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 455-3600
Interoperability endpoints
- mtepper2010395@wm.providencedirect.org
Organizations & group practices 18
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.
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Emergency Medicine Physician
- Seattle, WA
- NPI 1619909256
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
-
dba Broadwater Health Center
- Critical Access Hospital
- Townsend, MT
- NPI 1447245857
-
dba Vista Plains Health
- Rural Health Clinic/Center
- Harlowton, MT
- NPI 1235204538
-
- Family Medicine Physician
- Belgrade, MT
- NPI 1447280912
-
- Emergency Medicine Physician
- Bozeman, MT
- NPI 1437529112
-
dba EvergreenHealth Medical Group Snohomish County
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group King County
- Clinic/Center
- Redmond, WA
- NPI 1750612883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1306971684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR FL 19",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR FL 19",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628",
"telephone_number": "415-658-6791",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "425-656-4255 x207",
"fax_number": "425-656-4003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 Highland Blvd",
"address_purpose": "LOCATION",
"city": "Bozeman",
"state": "MT",
"postal_code": "597156902",
"country_code": "US",
"telephone_number": "406-414-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEPPER",
"first_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA101142",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10898",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MT1222417",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-15459",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0008939",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MT",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "12808",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004973",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS BILLING #",
"identifier": "5681TE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES BILLIN",
"identifier": "0208566",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.