Individual provider Active NPI

Nicole Joan Muskett, PA

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1528625969
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PCA-LIC-79321 Issued in MT
Practice address
2875 Tina Ave Ste 101
Missoula, MT 59808-1582
Phone
(406) 728-3366
Fax
(406) 728-0651
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 MED-PCA-LIC-79321 MT Primary

Addresses

Primary practice location

2875 Tina Ave Ste 101
Missoula, MT 59808-1582

Mailing address

2875 Tina Ave Ste 101
Missoula, MT 59808-1582
Phone (406) 728-3366

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
I20191107002112 MT Practitioner - Physician Assistant 3072945393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Valleys UrologyGroup PAC ID 3870497571, 7 clinicians

Practice addresses (Care Compare)

2875 Tina Rd
Suite 101
Missoula, MT 59808
Phone 40672833665651

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
  • Providence St Joseph Medical Center Hospital, Polson, MT, CCN 271343
  • Clark Fork Valley Hospital Hospital, Plains, MT, CCN 271323

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PCA-LIC-79321MTMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: nicole.muskett.1@15229.direct.athenahealth.com

Organizations & group practices 1

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 8

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1528625969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081582",
            "telephone_number": "406-728-3366",
            "fax_number": "406-728-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081582",
            "telephone_number": "406-728-3366",
            "fax_number": "406-728-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSKETT",
        "first_name": "NICOLE",
        "middle_name": "JOAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PCA-LIC-79321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.