Active NPI
Edwin Kenneth Sheils, PA-C
- Physician Assistant
- Saratoga, WY
National Provider Identifier
1043488596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 434
- Practice address
- 1208 S River St
Saratoga, WY 82331-0650 - Phone
- (307) 326-8381
- Fax
- (307) 326-5698
- NPI assigned
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 434 | WY | Primary |
Addresses
Primary practice location
1208 S River St
Saratoga, WY 82331-0650
Mailing address
PO Box 648
1208 River Street
Saratoga, WY 82331-0648
Phone (307) 326-8381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 11TH St N
Columbus, MT 59019-7215
Phone (406) 322-1000
Hospital & facility affiliations
- Stillwater Billings Clinic
- Billings Clinic Hospital
- Stillwater Billings Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434 | WY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Hospital Association, Inc. | Current | Accepting new patients | |
| Kaiser Healthcare Ventures | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Columbus, MT
- NPI 1053488387
-
- Rural Health Clinic/Center
- Columbus, MT
- NPI 1730434309
-
- Family Medicine Physician
- Saratoga, WY
- NPI 1487178497
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
- Critical Access Hospital
- Columbus, MT
- NPI 1053488387
-
- Medicare Defined Swing Bed Hospital Unit
- Columbus, MT
- NPI 1922160431
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1043488596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 648",
"address_2": "1208 RIVER STREET",
"city": "SARATOGA",
"state": "WY",
"postal_code": "823310648",
"telephone_number": "307-326-8381",
"fax_number": "307-326-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 S RIVER ST",
"city": "SARATOGA",
"state": "WY",
"postal_code": "823310650",
"telephone_number": "307-326-8381",
"fax_number": "307-326-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEILS",
"first_name": "EDWIN",
"middle_name": "KENNETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-19",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.