Trevor Quandt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61245832 Issued in WA

Practice address

669 Agency Main St
Harlem, MT 59526-9455

Phone

(406) 353-3100

NPI assigned

Aug 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, 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

Merit-based Incentive Payment System (MIPS)

Final score

82.72 of 100Reported as group

Quality

67.35

Improvement activities

40

Cost

85.26

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trevor.quandt@ihs.gov

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment
• Highline Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Burien, WA
  • NPI 1669757290
  Medicare reassignment
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bremerton, WA
  • NPI 1982654182
  Medicare reassignment
• U S Health Dept of Health & Human Services

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• U S Health Dept of Health & Human Services

  • Critical Access Hospital Clinic/Center
  • Harlem, MT
  • NPI 1942367842
  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Kingston, WA
  • NPI 1700326246

  Physician Assistant

  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Poulsbo, WA
  • NPI 1831912021
  NPD
• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Port Orchard, WA
  • NPI 1205886934

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1346852068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 AGENCY MAIN ST",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269455",
            "telephone_number": "406-353-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 AGENCY MAIN ST",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269455",
            "telephone_number": "406-353-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANDT",
        "first_name": "TREVOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61245832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Trevor.Quandt@ihs.gov",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "669 Agency Main St",
            "city": "Harlem",
            "state": "MT",
            "country_code": "US",
            "postal_code": "595269455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Myers, M.ED., LADC/MH, LCPC
• New Horizons Unlimited, Inc.
• New Horizons Unlimited, Inc.
• Bethany Liss Notafraid, REGISTERED NURSE
• Kathleen M Olver, RN
• Karen Marie Reevis I, LICENSED ADDICTION
• Brian Edward Reynolds, DO
• Valerie Jean Ricker, RD
• Janice Roth, RN
• Richard David Rush, DMD

• Physician Assistant in Harlem, MT
• Providers in Harlem, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.