NPIMap

Individual provider Active NPI

Heidi Maria Meierbachtol, PA-C

  • Medical Physician Assistant
  • Missoula, MT
National Provider Identifier
1972994739
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MED-PAC-LIC-36667 Issued in MT
Practice address
500 W Broadway St
Suite 320
Missoula, MT 59802-4008
Phone
(406) 329-5615
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MED-PAC-LIC-36667 MT Primary

Addresses

Primary practice location

500 W Broadway St
Suite 320
Missoula, MT 59802-4008

Mailing address

500 W Broadway St
Suite 320
Missoula, MT 59802-4008
Phone (406) 329-5615

Other names 1

  • Heidi Gaskill Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgaskill451427@wm.providencedirect.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150429002435 MT Practitioner - Physician Assistant 2163741919 Reassigns benefits to 2 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
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Providence St Joseph Medical CenterGroup PAC ID 0446230247, 52 clinicians

Practice addresses (Care Compare)

3017 Paxson St
Missoula, MT 59801-8325
Phone (406) 519-3422

500 W Broadway St
Missoula, MT 59802-4003

500 W Broadway St
Missoula, MT 59802-4096

500 W Broadway St
Suite 320
Missoula, MT 59802-4031
Phone (406) 329-5615

500 W Broadway St 3Rd FL
Missoula, MT 59802-4096

6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5377

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Providence St Joseph Medical Center Hospital, Polson, MT, CCN 271343
  • Clark Fork Valley Hospital Hospital, Plains, MT, CCN 271323
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
  • St Peters Health Hospital, Helena, MT, CCN 270003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Mar 1, 2015 Accepting new patients
Credena Health LLC CurrentSince Oct 31, 2018 Accepting new patients
Providence St Joseph Medical Center CurrentSince Oct 31, 2018 Accepting new patients
Providence Health & Services Mt CurrentSince Mar 1, 2015 Accepting new patients
Providence Health & Services Mt Medical Past Accepting new patients

Locations

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

Interoperability endpoints

  • Direct secure messaging: hgaskill451427@wm.providencedirect.org

Organizations & group practices 6

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 11

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": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1972994739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "address_2": "SUITE 320",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-329-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "address_2": "SUITE 320",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-329-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIERBACHTOL",
        "first_name": "HEIDI",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "MED-PAC-LIC-36667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgaskill451427@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 W Broadway St",
            "address_2": "Suite 320",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "GASKILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.