NPIMap

Individual provider Active NPI

Daniel Henry Sorensen, MPAS, PA-C

  • Physician Assistant
  • Havre, MT
National Provider Identifier
1962879809
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
42613 Issued in MT
Practice address
30 13TH St
Havre, MT 59501-5222
Phone
(406) 265-2211
NPI assigned
Aug 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 42613 MT Primary

Addresses

Primary practice location

30 13TH St
Havre, MT 59501-5222

Mailing address

30 13TH St
Havre, MT 59501-5222
Phone (406) 265-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151030002228 MT Practitioner - Physician Assistant 4981914157 Reassigns benefits to 3 organizations
I20200720001812 ID Practitioner - Physician Assistant 4981914157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

  • St Luke'S Elmore Medical Center Hospital, Mountain Home, ID, CCN 131311
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42613MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health CurrentSince Mar 1, 2020 Accepting new patients
Northern Montana Hospital CurrentSince Oct 8, 2015 Accepting new patients
Northern Montana Hospital CurrentSince Oct 8, 2015 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jul 1, 2020 Accepting new patients
St Peters Community Hospital CurrentSince Mar 1, 2020 Accepting new patients
St. Peter'S Health CurrentSince Mar 1, 2020 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

840 N 4th E
Mountain Home, ID 83647
Phone (208) 587-1850

465 McKenna Dr
Mtn Home, ID 83647
Phone (208) 587-9703

124 13th St
Havre, MT 59501
Phone (406) 265-5408

30 13th St
Havre, MT 59501
Phone (406) 262-1302

1410 1st Ave
Havre, MT 59501
Phone (406) 265-2211

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Interoperability endpoints

  • Direct secure messaging: dsorensen180100@direct.slhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1962879809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 13TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015222",
            "telephone_number": "406-265-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 13TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015222",
            "telephone_number": "406-265-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "DANIEL",
        "middle_name": "HENRY",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "42613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.