Individual provider Active NPI

Levi Barnum, PA-C

  • Physician Assistant
  • Casper, WY
National Provider Identifier
1235855792
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1037 Issued in WY
Practice address
1522 E a St
Casper, WY 82601-2254
Phone
(307) 234-6161
NPI assigned
Oct 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA1037 WY
Physician Assistant 363A00000X PA1037 WY Primary

Addresses

Primary practice location

1522 E a St
Casper, WY 82601-2254

Mailing address

1140 Cheshire St
Casper, WY 82609-3211
Phone (239) 560-0081

Other names 1

  • Levi Douglas Otis Barnum Professional name

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
I20230718003503 WY Practitioner - Physician Assistant 9830560093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of WyomingGroup PAC ID 4183607054, 40 clinicians

Practice addresses (Care Compare)

1522 E a St
Casper, WY 82601-2217
Phone (307) 431-5055

820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 431-5055

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Casper, WY, CCN 537044
  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1037WYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Family Medicine CurrentSince Jun 3, 2023 Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

1522 E A St
Casper, WY 82601
Phone (307) 233-6000

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

Interoperability endpoints

  • Direct secure messaging: levi.barnum.1@30244.direct.athenahealth.com

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1235855792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 CHESHIRE ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093211",
            "telephone_number": "239-560-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012254",
            "telephone_number": "307-234-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNUM",
        "first_name": "LEVI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "PA1037",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEVI",
            "last_name": "BARNUM",
            "middle_name": "DOUGLAS OTIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.