Iley Scott Copeland, PA-C
Individual provider Active NPI Physician Assistant · Missoula, MT
NPI 1962998856 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1962998856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MED-PAC-LIC-100093 (MT)
- Practice address
- 900 N Orange St Ste 304
Missoula, MT 59802-2951 - Phone
- (406) 329-5781
- Fax
- (406) 327-3331
- NPI assigned
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Lukes Clinic-Treasure Valley LLC
Providence Health and Services Mt
Practice addresses (Care Compare)
403 S 11TH St
Boise, ID 83702-6968
500 W Broadway St
Missoula, MT 59802-4003
520 S Eagle Rd
Meridian, ID 83642-6355
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
900 N Orange St
Missoula, MT 59802-2951
902 N Orange St
Missoula, MT 59802-2951
Hospital & facility affiliations
- St. Patrick Hospital
- St Luke'S Regional Medical Center
- Bitterroot Health - Daly Hospital
- Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210720002485 | MT | Practitioner - Physician Assistant | 3779831508 | Reassigns benefits to 1 organization |
| I20251203000769 | ID | Practitioner - Physician Assistant | 3779831508 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7871978 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current |
Accepting new patients | |
| Ennis Endocrinology, PLLC | Current |
Accepting new patients | |
| Providence Health & Services Mt | Current |
Accepting new patients |
Locations
2450 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 908-4541
900 N Orange St
Ste 304
Missoula, MT 59802
Phone (406) 329-5781
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
Interoperability endpoints
- icopeland884576@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7871978 | ID | |
| Physician Assistant | 363A00000X | MED-PAC-LIC-100093 | MT | Yes |
Addresses
Primary practice location
900 N Orange St Ste 304
Missoula, MT 59802-2951
Mailing address
PO Box 31001
4114
Pasadena, CA 91110-4114
Phone (406) 329-5781
Other practice location 1
520 S Eagle Rd Ste 1234
Meridian, ID 83642-6355
Phone (208) 429-0300
Other providers in Missoula, MT
- Bailey Cooke
- Sarah Cool
- Catherine Grant Cooper
- Scott Thomas Cooper
- Bradley Kevin Coots
- Erin Briana Corbett
- Shanna Corbin
- Brittnea Lee Cordial
- Casey Trent Cordial
- Clint Cordial
All providers in Missoula, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.