NPIMap

Individual provider Active NPI

Iley Scott Copeland, PA-C

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1962998856
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-100093 Issued in 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
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7871978 ID
Physician Assistant 363A00000X MED-PAC-LIC-100093 MT Primary

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

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
I20210720002485 MT Practitioner - Physician Assistant 3779831508 Reassigns benefits to 1 organization
I20251203000769 ID Practitioner - Physician Assistant 3779831508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 4981878402, 1,155 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7871978IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Sep 1, 2021 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 1, 2021 Accepting new patients
Ennis Endocrinology, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2450 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 908-4541

500 W Broadway St
Ste 320
Missoula, MT 59802

900 N Orange St
Ste 304
Missoula, MT 59802
Phone (406) 329-5781

Interoperability endpoints

  • Direct secure messaging: icopeland884576@wm.providencedirect.org

Organizations & group practices 5

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 8

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1962998856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001",
            "address_2": "4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104114",
            "telephone_number": "406-329-5781",
            "fax_number": "406-327-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST STE 304",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022951",
            "telephone_number": "406-329-5781",
            "fax_number": "406-327-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Eagle Rd Ste 1234",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426355",
            "country_code": "US",
            "telephone_number": "208-429-0300",
            "fax_number": "208-429-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "ILEY",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "7871978",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-100093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.