Individual provider Active NPI

McKenna Marie Spillar, PA-C

  • Physician Assistant
  • Casper, WY
National Provider Identifier
1114651924
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1253 Issued in WY
Practice address
1026 E 2ND St
Casper, WY 82601-2902
Phone
(307) 333-0002
Fax
(307) 333-4425
NPI assigned
Jul 16, 2022
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1253 WY Primary

Addresses

Primary practice location

1026 E 2ND St
Casper, WY 82601-2902

Mailing address

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

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
I20240710000266 WY Practitioner - Physician Assistant 7517402993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates, LLCGroup PAC ID 8820902695, 14 clinicians

Practice addresses (Care Compare)

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 233-2700

407 S Medical Arts CT
Suite D
Gillette, WY 82716-3372
Phone (307) 233-2700

808 Riverbend Dr
Suite 2
Douglas, WY 82633-2054
Phone (307) 233-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1253WYMDPhysician Assistant

Organizations & group practices 1

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 5

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": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1114651924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012902",
            "telephone_number": "307-333-0002",
            "fax_number": "307-333-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012902",
            "telephone_number": "307-333-0002",
            "fax_number": "307-333-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLAR",
        "first_name": "MCKENNA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.