Active NPI
Matthew Thomson, PA-C
- Physician Assistant
- Evanston, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 195 Feather Way
Evanston, WY 82930-9352 - Phone
- (307) 789-0096
- NPI assigned
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
195 Feather Way
Evanston, WY 82930-9352
Mailing address
195 Feather Way
Evanston, WY 82930-9352
Phone (307) 789-0096
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970
110 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5852
120 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5870
195 Feather Way
Evanston, WY 82930-9352
Phone (307) 789-0096
Hospital & facility affiliations
- Star Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lincoln Hospital District | Current | Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients | |
| South Lincoln Hospital District | Current | Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients |
Locations
110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137
901 Adams St
Afton, WY 83110
Phone (307) 885-5800
195 Feather Way
Evanston, WY 82930
Phone (307) 200-9200
190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636
195 Overthrust Rd
Evanston, WY 82930
Phone (307) 444-3600
711 Onyx St
Kemmerer, WY 83101
Phone (307) 877-4401
Interoperability endpoints
- mthomson644641@direct.ochin.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Afton, WY
- NPI 1730132523
-
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
-
- Rural Health Clinic/Center
- Evanston, WY
- NPI 1689207722
-
- Medicare Defined Swing Bed Hospital Unit
- Kemmerer, WY
- NPI 1881834927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1386121986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 FEATHER WAY",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309352",
"telephone_number": "307-789-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 FEATHER WAY",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309352",
"telephone_number": "307-789-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.