Active NPI
Michael A Trenam, PA C
- Physician Assistant
- Laramie, WY
National Provider Identifier
1649250051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TL 124
- Practice address
- 1909 Vista Dr
Laramie, WY 82070 - Phone
- (307) 745-8851
- Fax
- (307) 742-0961
- NPI assigned
- Jan 20, 2006
- 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 | TL 124 | WY | Primary |
Addresses
Primary practice location
1909 Vista Dr
Laramie, WY 82070
Mailing address
1909 Vista Dr
Laramie, WY 82070
Phone (307) 745-8851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310763 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL 124 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649250051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 VISTA DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-745-8851",
"fax_number": "307-742-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 VISTA DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82070",
"telephone_number": "307-745-8851",
"fax_number": "307-742-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENAM",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "TL 124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "310763",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.