NPIMap

Individual provider Active NPI

Sterling T. Fenwick, PA-C

  • Medical Physician Assistant
  • Cody, WY
National Provider Identifier
1063828291
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA600 Issued in WY
Practice address
720 Lindsay LN Ste C
Cody, WY 82414-4143
Phone
(307) 578-2180
Fax
(307) 578-2181
NPI assigned
Jul 9, 2014
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2018-0013 NM
Medical Physician Assistant 363AM0700X 7817012-1206 UT
Medical Physician Assistant 363AM0700X PA600 WY Primary

Addresses

Primary practice location

720 Lindsay LN Ste C
Cody, WY 82414-4143

Mailing address

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 578-2180

Other practice location 1

2310 North 400 East
Suite A
North Logan, UT 84341-1796
Phone (435) 787-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200121001512 WY Practitioner - Physician Assistant 8729303086 Reassigns benefits to 3 organizations
I20250602003067 MT Practitioner - Physician Assistant 8729303086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roundup Memorial Hospital AssociationGroup PAC ID 5395646707, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

1202 3Rd St W
Roundup, MT 59072-1816
Phone (406) 323-2301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
72.82
Promoting interoperability
100
Improvement activities
40
Cost
63.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2018-0013NMMDMedical Physician Assistant
PA600WYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Hospital District CurrentSince Jan 20, 2020 Accepting new patients
Powell Valley Health Care Inc CurrentSince Dec 15, 2023 Accepting new patients
Powell Valley Healthcare Inc CurrentSince Dec 15, 2023 Accepting new patients
West Park Hospital District CurrentSince Jan 20, 2020 Accepting new patients

Locations

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

720 Lindsay Ln
Ste C
Cody, WY 82414
Phone (307) 578-1955

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Interoperability endpoints

  • Direct secure messaging: sfenwick@powellvalleyhealthcare.cernerdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1063828291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-578-2180",
            "fax_number": "307-578-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN STE C",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144143",
            "telephone_number": "307-578-2180",
            "fax_number": "307-578-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 North 400 East",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "North Logan",
            "state": "UT",
            "postal_code": "843411796",
            "country_code": "US",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "STERLING",
        "middle_name": "T.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2018-0013",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "7817012-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "PA600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.