Individual provider Active NPI

Kelsey A. Bock, PA-C

  • Medical Physician Assistant
  • Great Falls, MT
National Provider Identifier
1689977175
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
637 Issued in MT
Practice address
1401 25TH St S
Great Falls, MT 59405-5183
Phone
(406) 731-8888
Fax
(406) 731-8318
NPI assigned
Dec 6, 2010
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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 637 MT Primary

Addresses

Primary practice location

1401 25TH St S
Great Falls, MT 59405-5183

Mailing address

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelsey.bock.p1@direct.benefisbmg.nextgenshare.com Health Information Exchange (HIE) Benefis Hospitals Inc

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
I20110128000175 MT Practitioner - Physician Assistant 5890974471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians
Peak Health and Wellness, LLCGroup PAC ID 4082500889, 28 clinicians
Mountainview Medical CenterGroup PAC ID 8820085707, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000

2231 N Montana Ave
Helena, MT 59601-0872
Phone (406) 389-8008

25 14TH Ave NW
Great Falls, MT 59404-1954
Phone (406) 455-5000

2960 N Washington St
Helena, MT 59602-1210
Phone (406) 455-5000

3545 Harrison Ave
Butte, MT 59701-3547
Phone (406) 430-1034

403 W Main St
Belgrade, MT 59714-3847
Phone (406) 388-8708

609 10TH Ave S
Great Falls, MT 59405-4078
Phone (406) 430-1040

PO Box Q
White Sulphur Springs, MT 59645-0817

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
637MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals, Inc. CurrentSince Feb 14, 2012 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Peak Health and Wellness, PLLC Past Accepting new patients

Locations

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

500 15th Ave S
Ste 1
Great Falls, MT 59405
Phone (406) 455-2149

Organizations & group practices 7

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 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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1689977175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "KELSEY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.bock.p1@direct.benefisbmg.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1401 25th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.