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

MS. Kelsey Grace Sullivan, PA-C

Individual provider Medical Physician Assistant · NPI 1518153543

MS. Kelsey Grace Sullivan, PA-C is a Physician Assistant in Missoula, Montana. Qualified in 2007, 19 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Montana and Oregon.

Years since qualifying
19
Licensed in
MT, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

601 W Spruce St Ste K
Missoula, MT 59802-4047
Phone: (406) 327-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 915 Highland Blvd, Bozeman, MT 59715-6902 — (406) 414-5000
  • 1709 Dock St, Tacoma, WA 98402-3204 — (253) 682-1710

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MED-PAC-LIC-34912 (MT)
Medical Physician Assistant Taxonomy 363AM0700X (OR)

Record details

NPI number1518153543
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2007
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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