Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Vantiem, PA-C

Individual provider Physician Assistant · NPI 1124706627

Alexis Vantiem, PA-C is a Physician Assistant in Superior, Montana. Licensed in Montana. Registered with an NPI since 2023.

Licensed in
MT
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1208 6th Ave E
Superior, MT 59872
Phone: (406) 822-4803
Fax: (406) 822-3848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-145618 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124706627
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

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