KATHLEEN J MITCHAM MPAS, PA-C
NPI 1366504540
Physician Assistant - Medical in Box Elder, MT

NPI Status: Active since December 14, 2006

Contact Information

535 CLINIC RD E
BOX ELDER, MT
ZIP 59521
Phone: (406) 395-4486
Fax: (406) 395-5850

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About KATHLEEN MITCHAM

This page provides the complete NPI Profile along with additional information for Kathleen Mitcham, a primary care provider established in Box Elder, Montana with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1366504540 assigned on December 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 001462 (IA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1366504540
Provider Name
KATHLEEN J MITCHAM MPAS, PA-C
Gender
Female
Entity Type
Individual
Location Address
535 CLINIC RD E BOX ELDER, MT 59521
Location Phone
(406) 395-4486
Location Fax
(406) 395-5850
Mailing Address
535 CLINIC RD E BOX ELDER, MT 59521
Mailing Phone
(406) 395-4486
Mailing Fax
(406) 395-5850
Is Sole Proprietor?
No
Enumeration Date
12-14-2006
Last Update Date
03-01-2012
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A primary care provider (PCP) like Kathleen Mitcham sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
001462
License State
IA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
R66288MEDICARE UPIN (02)AK 
R66288MEDICARE UPIN (02)IA 

Medicare Participation & PECOS Enrollment Status

Kathleen Mitcham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for KATHLEEN J MITCHAM MPAS, PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366504540
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126100858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 0 + 8 + 5 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1366504540 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730469743 DANIELLE DAWN COURTNAGE RN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1922388941 KAREN MYERS MT (ASCP)
Individual
Specialist/Technologist, Pathology (Medical Technologist)535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1104107549 VICKI HAZEL RN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1003197427 HEIDI S HUTTON RN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1932481298 TIFFANY KATHERINE CHRISTMAN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1942582234ROCKY BOY HEALTH CENTER LABORATORY
Organization
Clinical Medical Laboratory535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1922374537 MELISSA PARKEY MT(ASCP)
Individual
Specialist/Technologist, Pathology (Medical Technologist)535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1740546936 RAVI SINHA CLS
Individual
Technician, Pathology (Medical Laboratory)535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1194081331 BARBARA ANN FREIER MT,ASCP
Individual
Specialist/Technologist, Pathology (Medical Technologist)535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1053678367 VICTOR NG
Individual
Specialist/Technologist, Pathology (Medical Technologist)535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1699110585 SUSAN K WOLTER RN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1962831503 DEENA SUNCHILD RN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1518381144 THERESA PETERSON RN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1073931176 SCOTT DION RN
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1245650761 KARI WILLIAMS RPH
Individual
Pharmacist535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1184037707MS. GLORIA LITTLE LAC
Individual
Counselor (Addiction (Substance Use Disorder))535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4818
1104230416 TINA KING LAC
Individual
Counselor (Addiction (Substance Use Disorder))535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4818
1770997199 CAROL FOSTER LAC
Individual
Counselor (Addiction (Substance Use Disorder))535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4818
1437554151 VICKI AINSWORTH
Individual
Clinical Medical Laboratory535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486
1972993152 RAEANNE WALL
Individual
Registered Nurse535 CLINIC RD E
BOX ELDER, MT 59521
(406) 395-4486

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366504540, enumerated in the NPI registry as an "individual" on December 14, 2006

The provider is located at 535 Clinic Rd E Box Elder, Mt 59521 and the phone number is (406) 395-4486

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

This NPI record was last updated on December 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.