Chelsea Puente, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

583 Issued in WY

Practice address

497 W Lott St
Buffalo, WY 82834-1658

Phone

(307) 684-5521

Fax

(307) 684-5385

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chelsea Amos Former name

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medical CenterGroup PAC ID 1557344371, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson County Healthcare Center Hospital, Buffalo, WY, CCN 531308
• Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chelseapuente@fmcjc.allscriptsdirect.net

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.

• Family Medical Center

  • Clinic/Center
  • Buffalo, WY
  • NPI 1285612317
  Medicare reassignment Care Compare group
• Johnson County Memorial Hospital

  • Critical Access Hospital
  • Buffalo, WY
  • NPI 1003894122
  Medicare reassignment NPD
• Johnson County Memorial Hospital

  • Home Health Agency
  • Buffalo, WY
  • NPI 1992784961
  NPD

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

• Johnson County Memorial Hospital

  • Critical Access Hospital
  • Buffalo, WY
  • NPI 1003894122
  Care Compare affiliation
• Memorial Hospital of Sheridan County

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  Care Compare affiliation

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1083044630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341658",
            "telephone_number": "307-684-5521",
            "fax_number": "307-684-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341658",
            "telephone_number": "307-684-5521",
            "fax_number": "307-684-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "AMOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Buffalo, WY
• Providers in Buffalo, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.

Verify at the official NPI Registry.