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

Timothy N Street, PAC

Individual provider Medical Physician Assistant · NPI 1285635136

Timothy N Street, PAC is a Physician Assistant in Great Falls, Montana. Qualified in 1997, 29 years ago. Practices with Great Falls Clinic LLC, a 72-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
29
Licensed in
MT
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1600 Division Rd
Great Falls, MT 59404-1921
Phone: (406) 268-1600
Fax: (406) 771-3549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 143 (MT)

Record details

NPI number1285635136
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESAugust 12, 2011
Mailing address1400 29th St S, Great Falls, MT 59405-5353

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Great Falls Clinic Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Great Falls