Individual provider Active NPI

Michelle Tepper, PA-C

  • Surgical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1306971684
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5681TEOtherWAREGENCE BS BILLING #
0208566OtherVALABOR & INDUSTRIES BILLIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 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
I20060504000851 WA Practitioner - Physician Assistant 8921042433 Reassigns benefits to 4 organizations
I20210720003695 MT Practitioner - Physician Assistant 8921042433 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10898AZMDPhysician Assistant
PA.0008939COMDPhysician Assistant
PA101142MAMDPhysician Assistant
0010-15459NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Nov 1, 2018 Accepting new patients
King County Public Hospital District No 2 CurrentSince Nov 1, 2018 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Oct 5, 2024 Accepting new patients
Providence Health & Services- Washington CurrentSince Nov 1, 2021 Accepting new patients
King County Public Hospital District No. 2 Current Accepting new patients
Eastside Emergency Physicians PLLC CurrentSince Oct 14, 2014 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Jul 1, 2021 Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
Providence Health & Services - Washington CurrentSince Nov 1, 2021 Accepting new patients
Townsend Health Systems Inc, Physician Assistant CurrentSince Jul 22, 2021 Accepting new patients
Medcor of Barrington, P.C. CurrentSince Aug 1, 2018 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

  • Direct secure messaging: 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.

View all 18

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

Verify at the official NPI Registry.