NPIMap

Individual provider Active NPI

Patricia E Cantrell, PAC

  • Surgical Physician Assistant
  • Sidney, MT
National Provider Identifier
1386634491
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
225 Issued in MT
Practice address
214 14TH Ave SW
Sidney, MT 59270-3521
Phone
(406) 488-2380
Fax
(406) 488-2382
NPI assigned
Oct 28, 2005
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 225 MT Primary

Addresses

Primary practice location

214 14TH Ave SW
Sidney, MT 59270-3521

Mailing address

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2380

Other identifiers 1

IdentifierTypeStateIssuer
435489MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcantrell9912714@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000302 MT Practitioner - Physician Assistant 4981745486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians
Brett R Bennion, MD, PCGroup PAC ID 2365403060, 2 clinicians

Practice addresses (Care Compare)

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center CurrentSince Jan 1, 2026 Accepting new patients
Sidney Health Center CurrentSince Jun 26, 2017 Accepting new patients
Sidney Health Center CurrentSince Jun 26, 2017 Accepting new patients
John B Andelin MD PC Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Sidney Health Center Past Accepting new patients

Locations

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

214 14th Ave SW
Ste 101
Sidney, MT 59270
Phone (406) 488-2380

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Interoperability endpoints

  • Direct secure messaging: pcantrell9912714@direct.sanfordhealth.org

Organizations & group practices 7

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.

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1386634491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703521",
            "telephone_number": "406-488-2380",
            "fax_number": "406-488-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703521",
            "telephone_number": "406-488-2380",
            "fax_number": "406-488-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435489",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcantrell9912714@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "214 14th Ave SW",
            "city": "Sidney",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592703521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

Verify at the official NPI Registry.