Jan Mason-Manzer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

201 Issued in WY

Practice address

1121 Washington Ave
Newcastle, WY 82701

Phone

(307) 746-3582

NPI assigned

Nov 6, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmason-manzer.8699@regionalhealth.sdhealthlink.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.

• Weston County Hospital District

  • Rural Acute Care Hospital
  • Newcastle, WY
  • NPI 1154402972
  Medicare reassignment NPD (past)
• Weston County Hospital District

  • Rural Health Clinic/Center
  • Upton, WY
  • NPI 1588230015
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1083783054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN CHRISTIE MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WASHINGTON AVE",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "82701",
            "telephone_number": "307-746-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON-MANZER",
        "first_name": "JAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonu Kiesel, M.D.
• Peter Astrup Larsen, M.D.
• Vicki Lynn Legerski, P.T.A.
• Lincare Inc.
• Morgan Channing Lutz
• Craig Willard McCarty, M.D., PHD
• Paula Lee Mendenhall, INTERMEDIATE EMT
• Monument Health Network, Inc.
• Monument Health Network, Inc.
• Lynda Jean Nelson, INTERMEDIATE EMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.