Individual provider Active NPI

Kristen Anderson, PA

  • Medical Physician Assistant
  • Bozeman, MT
National Provider Identifier
1962891036
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MED-PAC-LIC-84768 Issued in MT
Practice address
1006 W Main St
Bozeman, MT 59715-3219
Phone
(406) 414-5000
NPI assigned
Jan 13, 2015
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA52159 CA
Medical Physician Assistant 363AM0700X MED-PAC-LIC-84768 MT Primary

Addresses

Primary practice location

1006 W Main St
Bozeman, MT 59715-3219

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5546

Other practice location 1

1035 Placer St
Suite 330
Redding, CA 96001-1125
Phone (530) 246-5710

Other practice location 2

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other practice location 3

1805 Oak St Ste 3
Bozeman, MT 59715-8847
Phone (406) 414-5000

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
I20210324001180 MT Practitioner - Physician Assistant 4981929288 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

1201 Highland Blvd
Bozeman, MT 59715-5983
Phone (406) 414-2400

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

925 Highland Blvd
Bozeman, MT 59715-6900

925 Highland Blvd
Suite 1220
Bozeman, MT 59715-6905
Phone (406) 414-3780

937 Highland Blvd
Bozeman, MT 59715-6916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA52159CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jun 1, 2022 Accepting new patients
Field of Dreams PC Current Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jun 1, 2022 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Caos, a Medical Corporation Past Accepting new patients
Peak Health and Wellness, PLLC Past Accepting new patients
Caos, a Medical Corporation PastSince Feb 20, 2016 Accepting new patients

Locations

1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800

1805 Oak St
Ste 3
Bozeman, MT 59715
Phone (406) 414-4890

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

Organizations & group practices 11

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1962891036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5546",
            "fax_number": "406-414-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153219",
            "telephone_number": "406-414-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 PLACER ST",
            "address_2": "Suite 330",
            "address_purpose": "LOCATION",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011125",
            "country_code": "US",
            "telephone_number": "530-246-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156902",
            "country_code": "US",
            "telephone_number": "406-414-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Oak St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597158847",
            "country_code": "US",
            "telephone_number": "406-414-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA52159",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "MED-PAC-LIC-84768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.