1. Home
  2. Directory
  3. Montana
  4. Superior
  5. Physician Assistant
  6. NPI Profile

ALEXIS VANTIEM PA-C
NPI 1124706627
Physician Assistant in Superior, MT

Active since July 06, 2023PECOS Enrolled
1208 6TH AVE. E, SUPERIOR, MT 59872(406) 822-4803(406) 822-3848 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Jul 6, 2023 (2 updates tracked since 2023).

About Alexis Vantiem Pa-c NPPES

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

ALEXIS VANTIEM PA-C (NPI 1124706627) is an individual physician assistant in Superior, Montana, licensed in Montana (MED-PAC-LIC-145618) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124706627
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXIS VANTIEMCredential: PA-C
Location Address1208 6TH AVE. ESuperior, MT 59872
Mailing AddressP.o. Box 66Superior, MT 59872 · (406) 822-4803 · Fax (406) 822-3848
Phone(406) 822-4803
Fax(406) 822-3848
Sole ProprietorNo
Enumeration DateJuly 6, 2023
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1124706627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MT · MED-PAC-LIC-145618
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1208 6TH AVE. E, Superior, MT 59872
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Vantiem Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59872 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.

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 Alexis Vantiem's NPI number?

The NPI number for Alexis Vantiem is 1124706627. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Alexis Vantiem located?

Alexis Vantiem practices at 1208 6th Ave. E, Superior, MT 59872. The listed phone number is (406) 822-4803.

What is Alexis Vantiem's specialty?

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

Is Alexis Vantiem enrolled in Medicare?

Yes. Alexis Vantiem is registered in the Medicare PECOS enrollment system.

What insurance does Alexis Vantiem accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Alexis Vantiem 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.

When was this NPI record last updated?

The NPPES record for Alexis Vantiem was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.