Individual provider Active NPI

Joshua Lupine Spuhler, PA-C

  • Physician Assistant
  • Bozeman, MT
National Provider Identifier
1902176480
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
666 Issued in MT
Practice address
536 S Cottonwood Rd Ste 100
Bozeman, MT 59718-9529
Phone
(406) 586-8029
Fax
(406) 586-8009
NPI assigned
Dec 30, 2011
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60344927 WA
Physician Assistant 363A00000X 666 MT Primary

Addresses

Primary practice location

536 S Cottonwood Rd Ste 100
Bozeman, MT 59718-9529

Mailing address

536 S Cottonwood Rd Ste 100
Bozeman, MT 59718-9529
Phone (406) 586-8029

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
I20120314000353 MT Practitioner - Physician Assistant 0941469704 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
Alpine Orthopedics and Sports MedicineGroup PAC ID 7113993577, 9 clinicians

Practice addresses (Care Compare)

536 S Cottonwood Rd
Bozeman, MT 59718-9529
Phone (406) 586-8029

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
666MTMDPhysician 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1902176480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 S COTTONWOOD RD STE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189529",
            "telephone_number": "406-586-8029",
            "fax_number": "406-586-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S COTTONWOOD RD STE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189529",
            "telephone_number": "406-586-8029",
            "fax_number": "406-586-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPUHLER",
        "first_name": "JOSHUA",
        "middle_name": "LUPINE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60344927",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.