Individual provider Active NPI

Andrea Hedblom, PA-C

  • Physician Assistant
  • Helena, MT
National Provider Identifier
1992057038
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
630 N Last Chance Gulch Ste 1100
Helena, MT 59601-3551
Phone
(406) 457-0000
NPI assigned
Oct 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 59457 MT
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

630 N Last Chance Gulch Ste 1100
Helena, MT 59601-3551

Mailing address

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

Other practice location 1

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 447-2698

Other practice location 2

1930 9th Ave
Helena, MT 59601-4759
Phone (406) 457-0000

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
I20171019003183 MT Practitioner - Physician Assistant 4385896539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pureview Health CenterGroup PAC ID 3678487394, 22 clinicians

Practice addresses (Care Compare)

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

Hospital & facility affiliations

  • St Peters Health Hospital, Helena, MT, CCN 270003

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11239MNMDGeneral Practice Dentistry
59457MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pureview Health Center CurrentSince Jun 17, 2024 Accepting new patients
St. Peter'S Health CurrentSince Dec 1, 2017 Accepting new patients
St Peters Community Hospital CurrentSince Dec 1, 2017 Accepting new patients
Pureview Health Center CurrentSince Jun 17, 2024 Accepting new patients
St. Peter'S Health CurrentSince Dec 1, 2017 Accepting new patients
St Peter'S Health Past Accepting new patients
Pureview Health Center Past Accepting new patients

Locations

630 N Last Chance Gulch
Ste 1100
Helena, MT 59601
Phone (406) 646-2522

1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Organizations & group practices 8

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 4

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": "1350172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1992057038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N LAST CHANCE GULCH STE 1100",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013551",
            "telephone_number": "406-457-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014928",
            "country_code": "US",
            "telephone_number": "406-447-2698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014759",
            "country_code": "US",
            "telephone_number": "406-457-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDBLOM",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "59457",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.