Active NPI
Rachael Elizabeth Anstine, PA-C
- Surgical Physician Assistant
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MED-PAC-LIC-125420
- Practice address
- 500 W Broadway St FL 5
Missoula, MT 59802-4008 - Phone
- (406) 329-5828
- NPI assigned
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA061920 | PA | |
| Surgical Physician Assistant | 363AS0400X | MED-PAC-LIC-125420 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St FL 5
Missoula, MT 59802-4008
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (866) 747-2455
Other practice location 1
320 E North Ave Ste 261
Pittsburgh, PA 15212-4756
Phone (412) 359-3901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15085471 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4003
500 W Broadway St
Missoula, MT 59802-4008
500 W Broadway St
Missoula, MT 59802-4096
500 W Broadway St 3Rd FL
Missoula, MT 59802-4096
Hospital & facility affiliations
- St. Patrick Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA061920 | PA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients |
Locations
500 W Broadway St
Fl 5
Missoula, MT 59802
Phone (406) 329-5866
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901
Interoperability endpoints
- ranstine2899388@wm.providencedirect.org
Organizations & group practices 6
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.
-
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
- Cardiovascular Disease Physician
- Deer Lodge, MT
- NPI 1407013261
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Colon & Rectal Surgery Physician
- Pittsburgh, PA
- NPI 1326048901
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1962093419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST FL 5",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-329-5828"
}
],
"practiceLocations": [
{
"address_1": "320 E North Ave Ste 261",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152124756",
"country_code": "US",
"telephone_number": "412-359-3901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANSTINE",
"first_name": "RACHAEL",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA061920",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MT",
"license": "MED-PAC-LIC-125420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15085471",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.