KATRINA J. PAULSON PA-C
NPI 1124199724
Physician Assistant in Great Falls, MT

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1401 25TH ST S, GREAT FALLS, MT 59405(406) 455-5000(406) 731-8876 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Apr 5, 2021, Feb 20, 2018 (3 updates tracked since 2018).

About Katrina J. Paulson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA J. PAULSON PA-C (NPI 1124199724) is an individual physician assistant in Great Falls, Montana, licensed in Montana (656) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1124199724
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATRINA J. PAULSONCredential: PA-C
Location Address1401 25TH ST SGreat Falls, MT 59405-5183
Mailing Address1401 25th St SGreat Falls, MT 59405-5183 · (406) 455-5000 · Fax (406) 731-8876
Fax(406) 731-8876
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 13, 2006
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1124199724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MT · 656
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1401 25TH ST S, Great Falls, MT 59405

Secondary Practice Location 1

Location 1120 Hospital Dr, Suite 100Lebanon, MO 65536-9238 · Phone (417) 533-6751 · Fax (417) 533-6755

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katrina J. Paulson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274512926
PECOS Enrollment IDI20110721000438
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
371 services193 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
187 services187 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
171 services131 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services21 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
26 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Missouri River Medical Center

Critical Access Hospitals · Fort Benton, MT
OwnershipGovernment - Hospital District or Authority
CMS Certification Number271304
Location1501 St Charles StFort Benton, MT 59442 · Chouteau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers23 claims50 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims17 services$0.93 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers29 claims29 services$34.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers20 claims20 services$90.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers25 claims39 services$32.84 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers14 claims34 services$17.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Internal Medicine (Infectious Disease)
1401 25TH ST S
GREAT FALLS, MT 59405
Emergency Medicine
1401 25TH ST S
GREAT FALLS, MT 59405
Physician Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Urology
1401 25TH ST S
GREAT FALLS, MT 59405
Physical Therapy Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Psychiatry & Neurology (Neurology)
1401 25TH ST S
GREAT FALLS, MT 59405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Paulson's NPI number?

The NPI number for Katrina Paulson is 1124199724. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Katrina Paulson located?

Katrina Paulson practices at 1401 25th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5000.

What is Katrina Paulson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katrina Paulson enrolled in Medicare?

Yes. Katrina Paulson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katrina Paulson accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Katrina Paulson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katrina Paulson affiliated with any hospitals?

According to CMS data, Katrina Paulson is affiliated with Benefis Hospitals Inc, Great Falls Clinic Hospital and Missouri River Medical Center.

When was this NPI record last updated?

The NPPES record for Katrina Paulson was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.