Kristy Ehrmantraut, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

620 Issued in MT

Practice address

60 Four Mile Dr Ste 11
Kalispell, MT 59901-2663

Phone

(406) 609-0210

Fax

(406) 609-0211

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mountain West Plastic Surgery and Medical Spa, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Kalispell, MT
  • NPI 1639886823
  Medicare reassignment
• Whitefish Plastic Surgery

  • Plastic Surgery Physician
  • Whitefish, MT
  • NPI 1700031622
  NPD (past)
• Whitefish Plastic Surgery, Inc.

  • Clinic/Center
  • Whitefish, MT
  • NPI 1871548917
  NPD (past)
• Valdosta Urological Associates

  • Specialist
  • Valdosta, GA
  • NPI 1144404484
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1386752186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOUR MILE DR STE 11",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012663",
            "telephone_number": "406-609-0210",
            "fax_number": "406-609-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOUR MILE DR STE 11",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012663",
            "telephone_number": "406-609-0210",
            "fax_number": "406-609-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRMANTRAUT",
        "first_name": "KRISTY",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "004673",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "620",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA LICENSE",
            "identifier": "620",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.A. LICENSE",
            "identifier": "004673",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Echoview Assisted Living, LLC
• Wyatt Eckert, OD
• Edgewood Kalispell Senior Living LLC
• Edgewood Vista
• Laurel Egan
• Karina E Ek, PTA
• Elevate Wellness, PLLC
• Christopher Elizagaray, PHARMD
• Amy Eller, PH.D.
• Gregory D Eller, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.