Michael Keegan Huntsman, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

OA61091541 Issued in WA

Practice address

875 Wesley St Ste 230
Arlington, WA 98223-1668

Phone

(360) 435-6097

Fax

(360) 435-1871

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Imaging Associates of Idaho Falls IncGroup PAC ID 7618876590, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Merit-based Incentive Payment System (MIPS)

Final score

89.07 of 100Reported as group

Quality

86.33

Improvement activities

40

Cost

88.62

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhuntsman710827@ahs.direct-ci.com

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.

• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Public Hospital Dist No 1 Skagit

  • General Practice Physician
  • Mount Vernon, WA
  • NPI 1023332749
  Medicare reassignment
• Cache Valley Vein

  • Vascular & Interventional Radiology Physician
  • Providence, UT
  • NPI 1831662311

  ID

  Medicare reassignment
• Teton Radiology Caldwell

  • Diagnostic Radiology Physician
  • Caldwell, ID
  • NPI 1336920420
  Medicare reassignment
• Teton Radiology Diagnostic a Series of Teton Group Enterprise

  • Body Imaging Physician
  • Idaho Falls, ID
  • NPI 1013085604
  Medicare reassignment
• Teton Radiology Madison LLC

  • Body Imaging Physician
  • Rexburg, ID
  • NPI 1407081060
  Medicare reassignment
• Teton Vascular Institute of Pocatello a Series of Teton Group

  • Vascular & Interventional Radiology Physician
  • Pocatello, ID
  • NPI 1508224379
  Medicare reassignment
• Public Hospital Dist No 1 Skagit

  • Primary Care Clinic/Center
  • Granite Falls, WA
  • NPI 1033164470
  NPD
• Public Hospital Dist No 1 Skagit

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1811460652

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1881218089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-814-6451",
            "fax_number": "360-445-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 230",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-6097",
            "fax_number": "360-435-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "MICHAEL",
        "middle_name": "KEEGAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "OA61091541",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhuntsman32622@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 Wesley St Ste 230",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982231668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Jane Huerta, LMT
• Carolyn Elizabeth Huett
• Garry Hufstetler, PBT
• Jeffrey D. Huleatt, D.D.S.
• Human Performance in Industry Inc
• Jessica Lynette Hurwitz, DNP, CNM, ARNP
• George Richard Hussey, DDS
• Peter R Hutchinson, DO
• David Alexander Icanberry, SLP
• Ideal Option, PLLC

• Surgical Physician Assistant in Arlington, WA
• Providers in Arlington, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.