Individual provider Active NPI

Micaul Cassidy McClafferty, PA

  • Medical Physician Assistant
  • Butte, MT
National Provider Identifier
1477033793
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
69428 Issued in MT
Practice address
435 S Crystal St Ste 300
Butte, MT 59701-1506
Phone
(406) 496-3600
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 69428 MT Primary

Addresses

Primary practice location

435 S Crystal St Ste 300
Butte, MT 59701-1506

Mailing address

3636 Harrison Ave
Butte, MT 59701-3571
Phone (406) 496-3600

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
I20181213002430 MT Practitioner - Physician Assistant 6800131186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians

Practice addresses (Care Compare)

3636 Harrison Ave
Butte, MT 59701-3571
Phone (406) 496-3600

400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260

Hospital & facility affiliations

  • Compassus Home Health - Butte Home health agency, Butte, MT, CCN 277058
  • Enhabit Home Health Home health agency, Helena, MT, CCN 277017
  • St James Hospital Hospital, Butte, MT, CCN 270017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69428MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC CurrentSince Oct 9, 2018 Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

3636 Harrison Ave
Butte, MT 59701
Phone (385) 216-5963

435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600

Organizations & group practices 2

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 4

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1477033793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013571",
            "telephone_number": "406-496-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST STE 300",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011506",
            "telephone_number": "406-496-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAFFERTY",
        "first_name": "MICAUL",
        "middle_name": "CASSIDY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "69428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.