Individual provider Active NPI

Betsey Jean Neddermeyer, PA-C

  • Medical Physician Assistant
  • Cody, WY
National Provider Identifier
1376999870
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MED-PAC-LIC-51580 Issued in MT
Practice address
201 Yellowstone Ave
Cody, WY 82414-9313
Phone
(307) 527-7561
Fax
(307) 527-1959
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA700 WY
Medical Physician Assistant 363AM0700X MED-PAC-LIC-51580 MT Primary

Addresses

Primary practice location

201 Yellowstone Ave
Cody, WY 82414-9313

Mailing address

PO Box 35100
Billings, MT 59107-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161115002272 WY Practitioner - Physician Assistant 4284913294 Reassigns benefits to 2 organizations
I20161117001142 MT Practitioner - Physician Assistant 4284913294 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA700WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Hospital District CurrentSince Apr 2, 2018 Accepting new patients
Billings Clinic Physician Assistant CurrentSince Oct 24, 2016 Accepting new patients
Billings Clinic CurrentSince Oct 24, 2016 Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

Interoperability endpoints

  • Direct secure messaging: bneddemeyer@billingsclinic.cernerdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1376999870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149313",
            "telephone_number": "307-527-7561",
            "fax_number": "307-527-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDDERMEYER",
        "first_name": "BETSEY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA700",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "MED-PAC-LIC-51580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.