Mary C Velk, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

372 Issued in MT

Practice address

2835 Fort Missoula Rd Ste 202
Missoula, MT 59804-7424

Phone

(406) 728-4292

Fax

(406) 728-5770

NPI assigned

Aug 17, 2006

Last updated

Apr 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1447363916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642600",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 202",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-728-4292",
            "fax_number": "406-728-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Ronan",
            "state": "MT",
            "postal_code": "598642600",
            "country_code": "US",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELK",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4306066",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Nicole Vasquez, SWLC
• Ned F Vasquez, MD
• Vast Sky Counseling, LLC
• Michael Ann Vaughn, DNP
• Robert Velin, PHD
• Nancy Lee Ventresca, ED.S MA LCPC
• Venture Onesource, LLC
• Anthony Verhasselt, DPT
• Aspen Verhasselt, DPT
• Hannah Verlanic, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.