Individual provider Active NPI

Kelli C Carman, PA-C

  • Physician Assistant
  • Helena, MT
National Provider Identifier
1629550710
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
79309 Issued in MT
Practice address
2442 Winne Ave
Helena, MT 59601-4921
Phone
(406) 457-4100
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 79309 MT Primary

Addresses

Primary practice location

2442 Winne Ave
Helena, MT 59601-4921

Mailing address

2442 Winne Ave
Helena, MT 59601-4921
Phone (406) 457-4100

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
I20200210002099 MT Practitioner - Physician Assistant 0840626966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helena Orthopaedic ClinicGroup PAC ID 5991799736, 14 clinicians
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2442 Winne Ave
Helena, MT 59601-4921
Phone (406) 324-9400

2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 447-2828

Hospital & facility affiliations

  • St Peters Health Hospital, Helena, MT, CCN 270003
  • Pondera Medical Center Hospital, Conrad, MT, CCN 271324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79309MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health CurrentSince Nov 1, 2025 Accepting new patients
St Peter'S Health Current Accepting new patients
St Peter'S Medical Group North CurrentSince Nov 1, 2025 Accepting new patients

Locations

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

2442 Winne Ave
Helena, MT 59601
Phone (406) 324-9400

2475 E Broadway St
Ste 1
Helena, MT 59601

2442 Winne Ave
Ste 1
Helena, MT 59601
Phone (406) 457-4100

Interoperability endpoints

  • Direct secure messaging: kelli.carman@1179.chartlogic.direct-ci.com

Organizations & group practices 4

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 5

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1629550710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 WINNE AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014921",
            "telephone_number": "406-457-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 WINNE AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014921",
            "telephone_number": "406-457-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAN",
        "first_name": "KELLI",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "79309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.