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

Stephanie Elizabeth Tripp, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1205468725

Stephanie Elizabeth Tripp, PHYSICIANASSISTANT is a Physician Assistant in Missoula, Montana. Qualified in 2019, 7 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
7
Licensed in
MT
In the registry since
2020

Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 329-5615
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MED-PAC-LIC-80026 (MT)

Record details

NPI number1205468725
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Missoula