Individual provider Active NPI

Anna Mae Kaufmann

  • Physician Assistant
  • Bozeman, MT
National Provider Identifier
1982110052
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
316 E Babcock St
Bozeman, MT 59715-4710
Phone
(406) 585-0022
NPI assigned
Dec 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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 Primary

Addresses

Primary practice location

316 E Babcock St
Bozeman, MT 59715-4710

Mailing address

20 Cypress Ave
Bozeman, MT 59715-3839

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
I20180207002745 MT Practitioner - Physician Assistant 3375803547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Health and Wellness, LLCGroup PAC ID 4082500889, 28 clinicians

Practice addresses (Care Compare)

2231 N Montana Ave
Helena, MT 59601-0872
Phone (406) 389-8008

403 W Main St
Belgrade, MT 59714-3847
Phone (406) 388-8708

862 Harmon Stream Blvd
Suite 101
Bozeman, MT 59718-4097
Phone (406) 548-8719

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

National Provider Directory

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

Organizations & group practices 2

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 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": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1982110052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CYPRESS AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E BABCOCK ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154710",
            "telephone_number": "406-585-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMANN",
        "first_name": "ANNA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.