Individual provider Active NPI

Kathleen S Miller, PA

  • Medical Physician Assistant
  • Billings, MT
National Provider Identifier
1366798126
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
20203 Issued in MT
Practice address
2223 Mission Way
Billings, MT 59102-0160
Phone
(406) 237-8989
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 20203 MT Primary

Addresses

Primary practice location

2223 Mission Way
Billings, MT 59102-0160

Mailing address

2223 Mission Way
Billings, MT 59102-0160
Phone (406) 237-8989

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
I20121201000081 MT Practitioner - Physician Assistant 3072765833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SCL Health Medical Group - Billings LLCGroup PAC ID 9638491574, 291 clinicians

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

2019 Broadwater Ave
Billings, MT 59102-4810
Phone (406) 237-8855

Hospital & facility affiliations

  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
20203MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Montana CurrentSince Mar 15, 2014 Accepting new patients
SCL Health Montana CurrentSince Mar 15, 2014 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Feb 28, 2015 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Feb 28, 2015 Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

2750 Grand Ave
Billings, MT 59102
Phone (406) 237-4040

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

1233 N 30th St
Ofc
Billings, MT 59101

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1035 1st Ave
Laurel, MT 59044
Phone (406) 628-6311

Interoperability endpoints

  • Direct secure messaging: kmiller87299@direct.intermountainhealth.org

Organizations & group practices 6

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 2

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1366798126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 MISSION WAY",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020160",
            "telephone_number": "406-237-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 MISSION WAY",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020160",
            "telephone_number": "406-237-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "20203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.