Individual provider Active NPI

James Pratt, PA-C

  • Medical Physician Assistant
  • Missoula, MT
National Provider Identifier
1649720517
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5984442-1206 Issued in UT
Practice address
1821 South Ave W Ste 402
Missoula, MT 59801-6518
Phone
(406) 543-8512
Fax
(406) 541-8513
NPI assigned
Oct 4, 2016
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 5984442-1206 UT Primary

Addresses

Primary practice location

1821 South Ave W Ste 402
Missoula, MT 59801-6518

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2875 Tina Ave Ste 104
Missoula, MT 59808-1582
Phone (406) 613-7676

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address James.Pratt@forefrontdermatology.emadirect.md
Direct Messaging Address James.Pratt@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181016001872 CA Practitioner - Physician Assistant 5193001428 Reassigns benefits to 1 organization
I20230104001646 MT Practitioner - Physician Assistant 5193001428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1821 S Ave W
Suite 402
Missoula, MT 59801-6518
Phone (406) 543-8512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5984442-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 1, 2022 Accepting new patients
Redding Dermatology Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Dec 1, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

2107 Airpark Dr
Redding, CA 96001
Phone (530) 241-1111

1821 South Ave W
Ste 402
Missoula, MT 59801
Phone (406) 541-8512

2875 Tina Ave
Ste 104
Missoula, MT 59808
Phone (406) 329-5746

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: james.pratt@forefrontdermatology.emadirect.md
  • Direct secure messaging: jpratt@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1649720517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SOUTH AVE W STE 402",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016518",
            "telephone_number": "406-543-8512",
            "fax_number": "406-541-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 Tina Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081582",
            "country_code": "US",
            "telephone_number": "406-613-7676",
            "fax_number": "406-206-6316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "5984442-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "James.Pratt@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1821 South Ave W Ste 402",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598016518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "James.Pratt@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2875 Tina Ave Ste 104",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.