Active NPI
Danielle Maestas, PA-C
- Medical Physician Assistant
- Fort Benton, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MED-PAC-LIC-88688
- Practice address
- 1501 Saint Charles St
Fort Benton, MT 59442-7710 - Phone
- (406) 622-3331
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50.004901RX | OH | |
| Medical Physician Assistant | 363AM0700X | MED-PAC-LIC-88688 | MT | Primary |
Addresses
Primary practice location
1501 Saint Charles St
Fort Benton, MT 59442-7710
Mailing address
1501 Saint Charles St
Fort Benton, MT 59442-7710
Phone (406) 622-5485
Other practice location 1
730 W Market St
Lima, OH 45801-4602
Phone (419) 227-3361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161
2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333
6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-1476
Hospital & facility affiliations
- Centura Health-Penrose St Francis Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Colorado, Inc. | Current | Accepting new patients | |
| Usacs of Colorado, Inc. | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Usacs of Colorado Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000
6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Critical Care Medicine (Internal Medicine) Physician
- Durango, CO
- NPI 1659220663
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1013557362
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1720614217
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1760174056
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1962850479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SAINT CHARLES ST",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "594427710",
"telephone_number": "406-622-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAINT CHARLES ST",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "594427710",
"telephone_number": "406-622-3331"
}
],
"practiceLocations": [
{
"address_1": "730 W Market St",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458014602",
"country_code": "US",
"telephone_number": "419-227-3361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAESTAS",
"first_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.004901RX",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MT",
"license": "MED-PAC-LIC-88688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.