NPIMap

Individual provider Active NPI

Maura A King, PA-C

  • Medical Physician Assistant
  • Kalispell, MT
National Provider Identifier
1740916774
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
147692 Issued in MT
Practice address
175 Commons Loop Suite 300
Kalispell, MT 59901
Phone
(406) 756-7555
Fax
(406) 991-7984
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 147692 MT Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

175 Commons Loop Suite 300
Kalispell, MT 59901

Mailing address

175 Commons Loop Suite 300
Kalispell, MT 59901
Phone (406) 756-7555

Other identifiers 1

IdentifierTypeStateIssuer
1788179MedicaidMT

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mking@dermatologymt.com Direct Dermatology Associates PLLP
Direct Messaging Address Maura.King@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221104002662 WI Practitioner - Physician Assistant 1658748512
I20250211003259 MT Practitioner - Physician Assistant 1658748512 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
Dermatology Associates PLLPGroup PAC ID 5193617223, 9 clinicians

Practice addresses (Care Compare)

175 Commons Loop
Suite 300
Kalispell, MT 59901-1904
Phone (406) 755-7555

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

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
147692MTMDMedical Physician Assistant

Organizations & group practices 1

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 7

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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1740916774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP SUITE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-756-7555",
            "fax_number": "406-991-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP SUITE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-756-7555",
            "fax_number": "406-991-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MAURA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "147692",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1788179",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mking@dermatologymt.com",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "Dermatology Associates PLLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 Commons Loop",
            "address_2": "Ste 300",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maura.King@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.