Individual provider Active NPI

Debbie Jean Paulsen, PA

  • Medical Physician Assistant
  • Missoula, MT
National Provider Identifier
1598816860
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
496 Issued in MT
Practice address
900 N Orange St
Ste 303
Missoula, MT 59802-2956
Phone
(406) 728-3111
Fax
(406) 728-3116
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 496 MT Primary

Addresses

Primary practice location

900 N Orange St
Ste 303
Missoula, MT 59802-2956

Mailing address

900 N Orange St
Ste 303
Missoula, MT 59802-2956
Phone (406) 728-3111

Other practice location 1

715 Main St Ste A
Stevensville, MT 59870-2861
Phone (406) 777-5522

Other practice location 2

601 W Spruce St Ste A
Missoula, MT 59802-4047
Phone (406) 728-3111

Other identifiers 2

IdentifierTypeStateIssuer
000900003OtherMTBLUE CROSS BLUE SHIELD
1598816860MedicaidMT

Other names 1

  • Debbie Jean Deppmeier Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dpaulsen236210@wm.providencedirect.org Direct
Direct Messaging Address dpaulsen236210@wm.providencedirect.org Direct

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
I20090813000585 MT Practitioner - Physician Assistant 1254485188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
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 59802-4008

500 W Broadway St
Missoula, MT 59802-4096

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

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
496MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Nov 28, 2016 Accepting new patients
Providence Health & Services Mt CurrentSince Nov 28, 2016 Accepting new patients
Providence Health & Services Mt Medical Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

900 N Orange St
Ste 303
Missoula, MT 59802
Phone (406) 327-7337

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

601 W Spruce St
Ste A
Missoula, MT 59802
Phone (406) 329-2945

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

715 Main St
Ste A
Stevensville, MT 59870
Phone (406) 777-5522

Interoperability endpoints

  • Direct secure messaging: dpaulsen236210@wm.providencedirect.org

Organizations & group practices 5

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1598816860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST",
            "address_2": "STE 303",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022956",
            "telephone_number": "406-728-3111",
            "fax_number": "406-728-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST",
            "address_2": "STE 303",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022956",
            "telephone_number": "406-728-3111",
            "fax_number": "406-728-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MT",
            "postal_code": "598702861",
            "country_code": "US",
            "telephone_number": "406-777-5522",
            "fax_number": "406-777-1175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W Spruce St Ste A",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024047",
            "country_code": "US",
            "telephone_number": "406-728-3111",
            "fax_number": "406-728-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "DEBBIE",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000900003",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598816860",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpaulsen236210@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "715 Main St Ste A",
            "city": "Stevensville",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598702861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpaulsen236210@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 W Spruce St Ste A",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "DEPPMEIER",
            "middle_name": "JEAN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.