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

Timothy J Devries, PAC

Individual provider Surgical Physician Assistant · NPI 1487644597

Timothy J Devries, PAC is a Physician Assistant in Kalispell, Montana. Qualified in 1995, 31 years ago. Practices with St Luke's Hospital of Duluth, a 413-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
31
Licensed in
MT
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

111 Sunnyview Ln
Kalispell, MT 59901-3164
Phone: (406) 752-7900
Fax: (406) 257-0253
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 211 (MT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 622 (MT)

Record details

NPI number1487644597
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESNovember 27, 2023
Certification dateJune 26, 2020
Mailing address111 Sunnyview Ln, Kalispell, MT 59901-3164

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice St. Luke'S Hospital Of Duluth — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kalispell