TYLER WAGSTAFF
NPI 1205266053
Physician Assistant in Kalispell, MT

Active since November 14, 2013PECOS Enrolled
160 HERITAGE WAY STE 202, KALISPELL, MT 59901(406) 752-8433(406) 756-6768 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 31, 2023, Jun 30, 2020, Oct 24, 2016 and 1 more (4 updates tracked since 2016).

About Tyler Wagstaff NPPES

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

TYLER WAGSTAFF (NPI 1205266053) is an individual physician assistant in Kalispell, Montana, licensed in Montana (MED-PAC-LIC-79860) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205266053
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER WAGSTAFF
Location Address160 HERITAGE WAY STE 202Kalispell, MT 59901-3127
Mailing Address350 Heritage Way Ste 2100Kalispell, MT 59901-3167 · (406) 257-8992 · Fax (406) 257-8996
Fax(406) 756-6768
Sole ProprietorNo
Enumeration DateNovember 14, 2013
Last NPPES UpdateMay 31, 20234 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1205266053 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-79860
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 ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA1227 (ID)
160 HERITAGE WAY STE 202, Kalispell, MT 59901

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 (PECOS)

Tyler Wagstaff 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 59901 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.

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.

Family Medicine
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Physician Assistant
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Physician Assistant (Medical)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Family Medicine
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Primary Care)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901

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 Tyler Wagstaff's NPI number?

The NPI number for Tyler Wagstaff is 1205266053. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Where is Tyler Wagstaff located?

Tyler Wagstaff practices at 160 Heritage Way Ste 202, Kalispell, MT 59901. The listed phone number is (406) 752-8433.

What is Tyler Wagstaff's specialty?

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

Is Tyler Wagstaff enrolled in Medicare?

Yes. Tyler Wagstaff is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Wagstaff accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Tyler Wagstaff 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 Tyler Wagstaff was last updated on May 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.