NPIMap

Individual provider Active NPI

Krystyl L Kulbeck, PA-C

  • Physician Assistant
  • Big Sandy, MT
National Provider Identifier
1790041309
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
24305 Issued in MT
Practice address
225 McNamara Ave
Big Sandy, MT 59520-7761
Phone
(406) 378-2189
Fax
(406) 378-2180
NPI assigned
Apr 9, 2012
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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 24305 MT Primary

Addresses

Primary practice location

225 McNamara Ave
Big Sandy, MT 59520-7761

Mailing address

PO Box 530
Big Sandy, MT 59520-0530
Phone (406) 378-2189

Other practice location 1

166 Montana Ave E
Big Sandy, MT 59520-7754
Phone (406) 378-2189

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
I20131119001033 MT Practitioner - Physician Assistant 5890958045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Medical Center IncGroup PAC ID 8123925989, 5 clinicians

Practice addresses (Care Compare)

166 Montana Ave E
Big Sandy, MT 59520-7754
Phone (406) 378-2188

371 Lincoln Ave
Big Sandy, MT 59520-7791

PO Box
Big Sandy, MT 59520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24305MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Medical Center Inc CurrentSince Aug 17, 2013 Accepting new patients
Big Sandy Medical Center Inc Past Accepting new patients

Organizations & group practices 3

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 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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1790041309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "BIG SANDY",
            "state": "MT",
            "postal_code": "595200530",
            "telephone_number": "406-378-2189",
            "fax_number": "406-378-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MCNAMARA AVE",
            "city": "BIG SANDY",
            "state": "MT",
            "postal_code": "595207761",
            "telephone_number": "406-378-2189",
            "fax_number": "406-378-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Montana Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Sandy",
            "state": "MT",
            "postal_code": "595207754",
            "country_code": "US",
            "telephone_number": "406-378-2189",
            "fax_number": "406-378-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULBECK",
        "first_name": "KRYSTYL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "24305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Sandy, MT

Sources for this page

Verify at the official NPI Registry.