SOPHIA RAELYN VIVANT PA-C
NPI 1912675216
Physician Assistant in Missoula, MT

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
700 W KENT AVE, MISSOULA, MT 59801(406) 541-3277(406) 541-3811 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sophia Raelyn Vivant Pa-c NPPES

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

SOPHIA RAELYN VIVANT PA-C (NPI 1912675216) is an individual physician assistant in Missoula, Montana, licensed in Montana (129044) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912675216
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIA RAELYN VIVANTCredential: PA-C
Location Address700 W KENT AVEMissoula, MT 59801-6772
Mailing Address700 W Kent AveMissoula, MT 59801-6772 · (406) 541-3277 · Fax (406) 541-3811
Fax(406) 541-3811
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 1, 2021
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1912675216 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 · 129044
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.
700 W KENT AVE, Missoula, MT 59801

Other Names 1

Former Name (1)Sophia Peterson

Secondary Practice Locations 2

Location 12760 Elizabeth Warren Ave Ste AButte, MT 59701-3979 · Phone (406) 792-1250
Location 2120 S 5th St Ste 104Hamilton, MT 59840-2798 · Phone (406) 363-3366 · Fax (406) 541-3811

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

Sophia Raelyn Vivant 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 ID5991159287
PECOS Enrollment IDI20230921000993
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 9

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
303 services303 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.
270 services204 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
256 services217 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
97 services80 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
89 services82 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
53 services47 patients

Hospital Affiliations CMS Care Compare 5

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Missoula, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270023
Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County
Emergency services Birthing friendly

Deer Lodge Medical Center

Critical Access Hospitals · Deer Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271314
Location1100 Hollenback LnDeer Lodge, MT 59722 · Powell County
Emergency services

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271340
Location1200 Westwood DrHamilton, MT 59840 · Ravalli County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59801 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.

Technician/Technologist (Optician)
700 W KENT AVE
MISSOULA, MT 59801
Otolaryngology
700 W KENT AVE
MISSOULA, MT 59801
Nurse Anesthetist, Certified Registered
700 W KENT AVE
MISSOULA, MT 59801
Ophthalmology
700 W KENT AVE
MISSOULA, MT 59801
Optometrist
700 W KENT AVE
MISSOULA, MT 59801
Ophthalmology
700 W KENT AVE
MISSOULA, MT 59801
Audiologist
700 W KENT AVE
MISSOULA, MT 59801
Ophthalmology
700 W KENT AVE
MISSOULA, MT 59801

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 Sophia Vivant's NPI number?

The NPI number for Sophia Vivant is 1912675216. It was assigned to this individual provider in the NPPES registry on September 1, 2021. The provider is also known as Sophia Peterson.

Where is Sophia Vivant located?

Sophia Vivant practices at 700 W Kent Ave, Missoula, MT 59801. The listed phone number is (406) 541-3277.

What is Sophia Vivant's specialty?

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

Is Sophia Vivant enrolled in Medicare?

Yes. Sophia Vivant 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 Sophia Vivant accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Sophia Vivant 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 Sophia Vivant affiliated with any hospitals?

According to CMS data, Sophia Vivant is affiliated with St. Patrick Hospital, St James Healthcare, Community Medical Center, Deer Lodge Medical Center and Bitterroot Health - Daly Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Vivant was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.