NPIMap

Individual provider Active NPI

Alexander Moses, PA-S

  • Physician Assistant
  • Kalispell, MT
National Provider Identifier
1649893637
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-116229 Issued in MT
Practice address
1035 1St Ave W Ste 210
Kalispell, MT 59901-5626
Phone
(406) 607-4900
NPI assigned
May 25, 2020
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 MED-PAC-LIC-116229 MT Primary

Addresses

Primary practice location

1035 1St Ave W Ste 210
Kalispell, MT 59901-5626

Mailing address

6507 Blue Ridge Way
Deer Park, WA 99006-8475
Phone (509) 720-1950

Other practice location 1

222 SE 8th Ave
Hillsboro, OR 97123-4218
Phone (729) 950-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104000938 MT Practitioner - Physician Assistant 4284004458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1035 1St Ave W
Kalispell, MT 59901-5607
Phone (406) 607-4900

124 3Rd Ave E
Kalispell, MT 59901-4530
Phone (406) 607-4900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flathead Community Health Center, Inc. CurrentSince Feb 1, 2023 Accepting new patients

Locations

1035 1st Ave W
Kalispell, MT 59901
Phone (406) 751-8105

1035 1st Ave W
Ste 210
Kalispell, MT 59901
Phone (406) 607-4900

124 3rd Ave E
Kalispell, MT 59901
Phone (406) 607-4900

Organizations & group practices 2

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 8

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": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1649893637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 BLUE RIDGE WAY",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990068475",
            "telephone_number": "509-720-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE W STE 210",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015626",
            "telephone_number": "406-607-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 SE 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234218",
            "country_code": "US",
            "telephone_number": "729-950-3352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "ALEXANDER",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-116229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.