Individual provider Active NPI

Cori Wenz

  • Medical Physician Assistant
  • Pinedale, WY
National Provider Identifier
1609425859
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PT833 Issued in WY
Practice address
615 E Hennick St
Pinedale, WY 82941-5228
Phone
(307) 367-0099
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PT833 WY Primary

Addresses

Primary practice location

615 E Hennick St
Pinedale, WY 82941-5228

Mailing address

PO Box 69
Afton, WY 83110-0069

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
I20191127000372 WY Practitioner - Physician Assistant 0345673653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sublette County Hospital DistrictGroup PAC ID 5496163461, 12 clinicians

Practice addresses (Care Compare)

625 E Hennick St
Pinedale, WY 82941-5228
Phone (307) 367-4133

Hospital & facility affiliations

  • Symbii Home Health Home health agency, Afton, WY, CCN 537073
  • Sublette County Health Hospital, Pinedale, WY, CCN 530038
  • CCN 531320 Hospital, CCN 531320
  • St Johns Medical Center Hospital, Jackson, WY, CCN 530015
  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Merit-based Incentive Payment System (MIPS)

Final score
87.33 of 100Reported as group
Quality
89.53
Improvement activities
40
Cost
71.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sublette County Hospital District CurrentSince Jul 1, 2021 Accepting new patients
Sublette County Hospital District CurrentSince Jul 1, 2021 Accepting new patients

Locations

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

Interoperability endpoints

  • Direct secure messaging: candersen777527@direct.ochin.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1609425859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831100069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E HENNICK ST",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829415228",
            "telephone_number": "307-367-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZ",
        "first_name": "CORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "PT833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinedale, WY

Sources for this page

Verify at the official NPI Registry.