Caitlyn Sue McCue, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PT784 Issued in WY

Practice address

123 Western Hills Blvd
Cheyenne, WY 82009-3446

Phone

(307) 635-0226

Fax

(307) 635-1924

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

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 NM

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rio Grande Dermatology, PCGroup PAC ID 4082777008, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Rio Grande Dermatology, PC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1497910848
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1366925737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WESTERN HILLS BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093446",
            "telephone_number": "307-635-0226",
            "fax_number": "307-635-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WESTERN HILLS BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093446",
            "telephone_number": "307-635-0226",
            "fax_number": "307-635-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "CAITLYN",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace McConnell
• Amanda Renee McCorry, COTA/L
• Michelle Mae McCoy
• Dantae McCray
• Faith C McCrory, LCSW
• James McDade
• Aaron McDaniel
• Melissa McDonald-Wertz, MSW
• Erin McDonald
• Keara Maureen McDonald

• Physician Assistant in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.