Kelly R. Etzel
NPI 1639285281ActiveIndividual· Physician Assistant· Missoula, MT
Listed on the HHS-OIG exclusion list since April 2017 (1128a4). Physician Assistant in Missoula, Montana, licensed in MT, with an NPI issued in August 2006.
Overview
| NPI | 1639285281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 23, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 165 | MT |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Kelly R. Etzel · Physician Assistant | 1128a4 | Apr 20, 2017 | Lolo, MT |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Listed (NPI) | See above |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Missoula
- 1053059956
- 1134732761
- 1154534691
- 1154609402
- 1154706596
- 1225279227
- 1225426505
- 1245250703
- 1275512071
- 1285902767
- 1295183994
- 1306394226
All 125 physician assistants in Missoula · All physician assistants in Montana