Individual provider Active NPI

Virginia L Myers, PA-C

  • Medical Physician Assistant
  • Casper, WY
National Provider Identifier
1104868017
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
331 Issued in WY
Practice address
1300 E a St
Suite 104
Casper, WY 82601-2260
Phone
(307) 237-1900
Fax
(307) 268-8514
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 331 WY Primary

Addresses

Primary practice location

1300 E a St
Suite 104
Casper, WY 82601-2260

Mailing address

1300 E a St
Suite 104
Casper, WY 82601-2260
Phone (307) 237-1900

Other identifiers 1

IdentifierTypeStateIssuer
1206257MedicaidWY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050115000010 WY Practitioner - Physician Assistant 9436108545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Care Specialists, LLC 8 clinicians

Practice addresses (Care Compare)

1026 E 2ND St
Casper, WY 82601-2902
Phone (307) 333-0002

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331WYMDMedical Physician Assistant

Organizations & group practices 2

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.

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1104868017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E A ST",
            "address_2": "SUITE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012260",
            "telephone_number": "307-237-1900",
            "fax_number": "307-268-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E A ST",
            "address_2": "SUITE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012260",
            "telephone_number": "307-237-1900",
            "fax_number": "307-268-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "VIRGINIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206257",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.