Individual provider Active NPI

Kaley Marie Parks, PA-C

  • Physician Assistant
  • Billings, MT
National Provider Identifier
1518338086
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
42614 Issued in MT
Practice address
2019 Broadwater Ave
Billings, MT 59102-4810
Phone
(406) 237-5200
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 42614 MT Primary

Addresses

Primary practice location

2019 Broadwater Ave
Billings, MT 59102-4810

Mailing address

2019 Broadwater Ave
Billings, MT 59102-4810
Phone (406) 237-5200

Other names 1

  • Kaley Marie Bradshaw Former name

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
I20151103002250 MT Practitioner - Physician Assistant 1951611953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

32 Wicks Lane
Billings, MT 59105-3810
Phone (406) 238-6010

32 Wicks LN
Billings, MT 59105-3810
Phone (406) 237-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42614MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince Nov 2, 2015 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Nov 2, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

2750 Grand Ave
Billings, MT 59102
Phone (406) 237-4040

32 Wicks Ln
Billings, MT 59105
Phone (406) 237-8300

1027 N 27th St
Billings, MT 59101
Phone (406) 237-5110

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

331 S Washington Ave
Ste B
Laurel, MT 59044
Phone (406) 237-3160

Organizations & group practices 3

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1518338086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024810",
            "telephone_number": "406-237-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024810",
            "telephone_number": "406-237-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KALEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "42614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALEY",
            "last_name": "BRADSHAW",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.