IndividualActive
Mitchell Hall, PAC
NPI 1164194593 · Surgical Physician Assistant · Missoula, MT
Provider details
- NPI number
- 1164194593
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- MED-PAC-LIC-131239 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 W Broadway St Fl 5
Missoula, MT 59802-4096
Phone: (406) 329-5866
Street-level locationGet directions
Mailing address
Po Box 31001
Pasadena, CA 91110-4110
Additional practice locations (1)
- 6600 E 2nd St Ste aCasper, WY 82609-4348Phone: (307) 333-4363
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.