Tristyn Richendifer, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PT639 Issued in WY

Practice address

111 S 5TH St
Douglas, WY 82633-2434

Phone

(307) 358-6200

NPI assigned

Jul 17, 2015

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thunder Basin Orthopaedics and Sports Medicine PCGroup PAC ID 0840269189, 5 clinicians

Memorial Hospital of Converse CountyGroup PAC ID 2264340843, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Summit Medical Center Hospital, Casper, WY, CCN 530034

Merit-based Incentive Payment System (MIPS)

Final score

76.14 of 100Reported as group

Quality

83.68

Promoting interoperability

100

Improvement activities

40

Cost

36.79

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trichendifer42299@direct.crmcwy.org

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.

• Thunder Basin Orthopaedics and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Douglas, WY
  • NPI 1104883461
  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• Summit Medical Center, LLC

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1609297506
  Care Compare affiliation

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1265816466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 RIVERBEND DR",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332054",
            "telephone_number": "307-358-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-358-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHENDIFER",
        "first_name": "TRISTYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WY",
            "license": "PT639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Redfern, PPC
• Brian Scott Retherford, M.D.
• Jacqueline Gale Retherford, MS NP
• Bonnie A Richards, OTR/L
• Julie D Richards
• Patrick Aaron Robertson, M.D.
• Megan Rose Robinson, OTR/L
• Sylvia Robinson
• Rocky Mountain Care - Summit Ridge Assisted Living Facility Oc LLC (Summit Ridge Assisted Living and Memory Care)
• Kelly Ross

• Surgical Physician Assistant in Douglas, WY
• Providers in Douglas, WY by specialty
• Surgical Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.