Individual provider Active NPI

Craig James Edwards, PA-C

  • Surgical Physician Assistant
  • Cody, WY
National Provider Identifier
1477859015
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA589 Issued in MT
Practice address
3030 Big Horn Ave Ste C
Cody, WY 82414-9208
Phone
(307) 578-1955
Fax
(307) 578-1996
NPI assigned
Jan 30, 2011
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
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
Surgical Physician Assistant 363AS0400X PA589 MT Primary

Addresses

Primary practice location

3030 Big Horn Ave Ste C
Cody, WY 82414-9208

Mailing address

3030 Big Horn Ave Ste C
Cody, WY 82414-9208
Phone (307) 578-1955

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
I20140718001964 WY Practitioner - Physician Assistant 7719103266 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

3030 Big Horn Ave
Cody, WY 82414-9208
Phone (307) 527-7561

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7561

777 Ave H
Powell, WY 82435-2260
Phone (307) 527-7561

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA589MTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Physician Assistant CurrentSince Feb 1, 2021 Accepting new patients
Cody Regional Health EMS CurrentSince Jan 29, 2025 Accepting new patients
Billings Clinic CurrentSince Feb 1, 2021 Accepting new patients
West Park Hospital District CurrentSince Dec 14, 2025 Accepting new patients
Powell Valley Health Care Inc CurrentSince Dec 1, 2022 Accepting new patients
Powell Valley Healthcare Inc CurrentSince Dec 1, 2022 Accepting new patients
Hot Springs County Hospital District Current Accepting new patients
West Park Hospital District CurrentSince Jan 29, 2025 Accepting new patients
Billings Clinic Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

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

3030 Big Horn Ave
Cody, WY 82414
Phone (307) 578-1955

3030 Big Horn Ave
Ste C
Cody, WY 82414
Phone (307) 578-1955

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

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

720 Lindsay Ln
Ste C
Cody, WY 82414
Phone (307) 578-1955

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Interoperability endpoints

  • Direct secure messaging: cedwards@hscmh.cernerdirect.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1477859015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BIG HORN AVE STE C",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149208",
            "telephone_number": "307-578-1955",
            "fax_number": "307-578-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BIG HORN AVE STE C",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149208",
            "telephone_number": "307-578-1955",
            "fax_number": "307-578-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CRAIG",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-30",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "PA589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.