Active NPI
Wendy J Watson, CFA
- Surgical Physician Assistant
- Cheyenne, WY
National Provider Identifier
1093772576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 00F496
- Practice address
- 214 E 23Rd St
Cheyenne, WY 82001-3748 - Phone
- (307) 634-2273
- NPI assigned
- Apr 27, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 00F496 | CO | Primary |
Addresses
Primary practice location
214 E 23Rd St
Cheyenne, WY 82001-3748
Mailing address
PO Box 2417
Cheyenne, WY 82003-2417
Phone (307) 638-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305168 | Other | WY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00F496 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093772576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2417",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820032417",
"telephone_number": "307-638-0300",
"fax_number": "307-638-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 23RD ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013748",
"telephone_number": "307-634-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "WENDY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "CFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "00F496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "305168",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.