Patricia Wittkopp, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

40 Issued in MT

Practice address

605 Sullivan Ave
Circle, MT 59215

Phone

(406) 485-2063

Fax

(406) 485-2435

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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.

• McCone County Health Center Inc

  • Medical Physician Assistant
  • Circle, MT
  • NPI 1740464916

  MT

  Medicare reassignment
• McCone County Health Center Inc

  • Rural Health Clinic/Center
  • Circle, MT
  • NPI 1881234185
  NPD
• County of McCone

  • Public Health or Welfare Agency
  • Circle, MT
  • NPI 1770756439
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396863965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CIRCLE",
            "state": "MT",
            "postal_code": "592150278",
            "telephone_number": "406-485-2063",
            "fax_number": "406-485-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SULLIVAN AVE",
            "city": "CIRCLE",
            "state": "MT",
            "postal_code": "59215",
            "telephone_number": "406-485-2063",
            "fax_number": "406-485-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTKOPP",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCone County Health Center Inc
• McCone County Health Center, Inc.
• Shayna Phalen, MPT
• Redwater Valley Ambulance Service
• Shannell Weeding, FNP-C

• All providers in Circle, MT
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.