Individual provider Active NPI

Lynn Marie Graham, MS PT, PA-C MPAS

  • Medical Physician Assistant
  • Plentywood, MT
National Provider Identifier
1548594591
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
581 Issued in MT
Practice address
440 W Laurel Ave
Plentywood, MT 59254-1596
Phone
(406) 493-3718
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 581 MT Primary
Physical Therapist 225100000X 1683PT MT

Addresses

Primary practice location

440 W Laurel Ave
Plentywood, MT 59254-1596

Mailing address

12499 Claimstake CT
Lolo, MT 59847-9435
Phone (406) 493-5973

Other practice location 1

12499 Claimstake Ct
Lolo, MT 59847-9435
Phone (406) 493-5973

Other practice location 2

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 543-7271

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
I20091124000479 MT Practitioner - Physician Assistant 9335288737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

500 W Broadway St
Missoula, MT 59802-4003

500 W Broadway St
Missoula, MT 59802-4096

500 W Broadway St 3Rd FL
Missoula, MT 59802-4096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1683PTMTMDPhysical Therapist
581MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Aug 25, 2025 Accepting new patients
Providence Health & Services Mt CurrentSince Aug 25, 2025 Accepting new patients
Culbertson Froid Bainville Health Care Corporation CurrentSince Apr 26, 2016 Accepting new patients
Providence Health & Services Mt Medical Past Accepting new patients
Montana Neurology PLLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

818 2nd Ave E
Culbertson, MT 59218
Phone (406) 787-6400

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Fl 5
Missoula, MT 59802
Phone (406) 329-5866

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1548594591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 CLAIMSTAKE CT",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598479435",
            "telephone_number": "406-493-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541596",
            "telephone_number": "406-493-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12499 Claimstake Ct",
            "address_purpose": "LOCATION",
            "city": "Lolo",
            "state": "MT",
            "postal_code": "598479435",
            "country_code": "US",
            "telephone_number": "406-493-5973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "406-543-7271",
            "fax_number": "406-327-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "MS PT,  PA-C MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "581",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1683PT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plentywood, MT

Sources for this page

Verify at the official NPI Registry.