Individual provider Active NPI

Marta Graves, PA-C

  • Medical Physician Assistant
  • Kalispell, MT
National Provider Identifier
1346400975
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
147423 Issued in MT
Practice address
175 Commons Loop Ste 300
Kalispell, MT 59901-1904
Phone
(406) 756-7555
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 147423 MT Primary
Physician Assistant 363A00000X AMD-1218 HI
Physician Assistant 363A00000X PA.0002659 CO

Addresses

Primary practice location

175 Commons Loop Ste 300
Kalispell, MT 59901-1904

Mailing address

175 Commons Loop Ste 300
Kalispell, MT 59901-1904
Phone (406) 756-7555

Other identifiers 2

IdentifierTypeStateIssuer
1839097MedicaidMT
98839225MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241217001722 MT Practitioner - Physician Assistant 1557424942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PLLPGroup PAC ID 5193617223, 9 clinicians

Practice addresses (Care Compare)

175 Commons Loop
Suite 300
Kalispell, MT 59901-1904
Phone (406) 755-7555

Hospital & facility affiliations

  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AMD-1218HIMDPhysician Assistant
147423MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Plus LLC Physician Assistant Past Accepting new patients
Fennelly Chiropractic Clinic, Inc. Past Accepting new patients
Longs Peak Emergency Physicians, PC Past Accepting new patients

Organizations & group practices 4

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 8

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1346400975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP STE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-756-7555",
            "fax_number": "406-756-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP STE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-756-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MARTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "147423",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1218",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1839097",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98839225",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.