Kelsey Grace Sullivan, PA-C
NPI 1518153543ActiveIndividual· Physician Assistant, Medical· Missoula, MT
Physician Assistant, Medical (PA-C) with Providence Health and Services Mt, practicing in Missoula, Montana. In 2024 Medicare paid $13,895 for 117 patients, and Part D covered 50 of their prescriptions, 80% of them generic. Lists St. Patrick Hospital as a hospital affiliation.
Overview
| NPI | 1518153543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 24, 2007 |
| Last updated in NPPES | Dec 9, 2025 |
| Certified by provider | Dec 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | MED-PAC-LIC-34912 | MT |
| Physician Assistant, Medical | 363AM0700X | — | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 117 |
|---|---|
| Services billed | 236 across 17 procedure codes |
| Paid by Medicare | $13,895 |
Part D prescriptions in 2024
| Prescriptions (claims) | 50 · 62 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $3,398 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Health and Services MtMissoula, MT · 362 clinicians
Hospital affiliation
- St. Patrick HospitalMissoula, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 physician assistants in Missoula · All physician assistants in Montana