NPIMap

Individual provider Active NPI

Angela L Bundy-Kelm, PAC

  • Medical Physician Assistant
  • Miles City, MT
National Provider Identifier
1548297625
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
221 Issued in MT
Practice address
620 S Haynes Ave
Miles City, MT 59301-4769
Phone
(406) 233-7000
NPI assigned
Jun 26, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MED-PAC-LIC-221 MT
Medical Physician Assistant 363AM0700X 221 MT Primary

Addresses

Primary practice location

620 S Haynes Ave
Miles City, MT 59301-4769

Mailing address

PO Box 35100
Billings, MT 59107-5100
Phone (406) 233-7000

Other names 1

  • Angela L Bundy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000441 MT Practitioner - Physician Assistant 4385649797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

620 S Haynes Ave
Miles City, MT 59301-4769
Phone (406) 233-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221MTMDRegistered Dietitian
630MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Rosary Healthcare CurrentSince Mar 1, 2010 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jan 1, 2011 Accepting new patients
Holy Rosary Healthcare CurrentSince Mar 1, 2010 Accepting new patients
Billings Clinic CurrentSince Jan 1, 2011 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

620 S Haynes Ave
Miles City, MT 59301
Phone (406) 233-7000

1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301

Interoperability endpoints

  • Direct secure messaging: abundykelm@billingsclinic.cernerdirect.com

Organizations & group practices 7

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1548297625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-233-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S HAYNES AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014769",
            "telephone_number": "406-233-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY-KELM",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-221",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BUNDY",
            "middle_name": "L",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.