Active NPI
Kellan Shenton Harris, PA-C
- Surgical Physician Assistant
- Billings, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 2900 12TH Ave N
Ste 400E
Billings, MT 59101-7506 - Phone
- (406) 238-6820
- Fax
- (406) 238-6838
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
2900 12TH Ave N
Ste 400E
Billings, MT 59101-7506
Mailing address
2900 12TH Ave N
Ste 400E
Billings, MT 59101-7506
Phone (406) 238-6820
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121231000073 | MT | Practitioner - Physician Assistant | 8123271053 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- 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
Hospital & facility affiliations
- Intermountain Health St Vincent Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Past | Accepting new patients | |
| SCL Health Montana | Past | Accepting new patients |
Locations
2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200
2900 12th Ave N
Ste 400E
Billings, MT 59101
Phone (406) 238-6650
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
Interoperability endpoints
- kharris3@billingsclinic.cernerdirect.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Bozeman, MT
- NPI 1265648455
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
-
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1003701558
-
- General Practice Physician
- Billings, MT
- NPI 1447866538
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Multi-Specialty Clinic/Center
- Billings, MT
- NPI 1922039890
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": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1629328885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "STE 400E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017506",
"telephone_number": "406-238-6820",
"fax_number": "406-238-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "STE 400E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017506",
"telephone_number": "406-238-6820",
"fax_number": "406-238-6838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KELLAN",
"middle_name": "SHENTON",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.