Tennille Cybil Baker, P.A.
Individual provider Active NPI Medical Physician Assistant · Bozeman, MT
NPI 1811001290 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1811001290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- MED-PAC-LIC-529 (MT)
- Practice address
- 931 Highland Blvd Ste 3130
Bozeman, MT 59715-6914 - Phone
- (406) 414-5070
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bozeman Health Deaconess Hospital
Practice addresses (Care Compare)
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
925 Highland Blvd
Bozeman, MT 59715-6900
925 Highland Blvd
Suite 1220
Bozeman, MT 59715-6905
Phone (406) 414-3780
931 Highland Blvd
Bozeman, MT 59715-6914
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- St James Hospital
- Madison Valley Medical Center
- Livingston Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090602000225 | MT | Practitioner - Physician Assistant | 7618073792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PAC-LIC-529 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belgrade Clinic PLLP | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current |
Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current |
Accepting new patients | |
| Bozeman Health Deaconess Hospital | Past | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Past | Accepting new patients |
Locations
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
931 Highland Blvd
Ste 3130
Bozeman, MT 59715
Phone (406) 414-5070
925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780
Interoperability endpoints
- tbaker7291313@direct.sanfordhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MED-PAC-LIC-529 | MT | |
| Medical Physician Assistant | 363AM0700X | MED-PAC-LIC-529 | MT | Yes |
Addresses
Primary practice location
931 Highland Blvd Ste 3130
Bozeman, MT 59715-6914
Mailing address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811001290 | Medicaid | MT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbaker7291313@direct.sanfordhealth.org | Direct | Bozeman Health Deaconess Hospital |
Other providers in Bozeman, MT
- Sabrina Husain Bajakian
- Baker Opticians
- Christopher Barnett Baker Jr.
- Joshua Baker
- Katie Baker
- Tobi Jean Bakken
- Peggy Louise Baldwin
- Fraser Ball
- Kaitlin Ball
- Kimberly Ball
All providers in Bozeman, MT · Medical Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.