Paul Allen Egleston, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6306798-1206 Issued in UT

Practice address

2761 Commercial Way
Rock Springs, WY 82901-4753

Phone

(307) 382-3064

Fax

(307) 382-3303

NPI assigned

Apr 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, WY2 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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evanston Clinic CorpGroup PAC ID 8325038094, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051

Merit-based Incentive Payment System (MIPS)

Final score

89.06 of 100Reported as group

Quality

89.53

Promoting interoperability

100

Improvement activities

40

Cost

74

Merit-based Incentive Payment System (MIPS)

Final score

81.25 of 100Reported as group

Quality

67.93

Promoting interoperability

100

Improvement activities

40

Cost

69.58

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.egleston.1@1583.direct.athenahealth.com

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.

• Evanston Clinic Corp

  • Family Medicine Physician
  • Evanston, WY
  • NPI 1013916519
  Medicare reassignment Care Compare group
• Advanced Spine Pain Specialists

  • Pain Medicine Physician
  • Providence, UT
  • NPI 1285958439

  WY

  Medicare reassignment
• Catholic Health Initiatives Colorado

  • Prescribing (Medical) Psychologist
  • West Valley City, UT
  • NPI 1942903562
  Medicare reassignment
• Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • West Jordan, UT
  • NPI 1073215331
  NPD
• Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD
• American Heart and Vascular Institute PC

  • Interventional Cardiology Physician
  • Murray, UT
  • NPI 1396390316
  NPD (past)
• Catholic Health Initiatives Colorado

  • Neurological Surgery Physician
  • Lakewood, CO
  • NPI 1205846664
  NPD (past)
• Catholic Health Initiatives Colorado

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1922700095
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • West Jordan, UT
  • NPI 1801591391
  Care Compare affiliation

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1649560764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S DURBIN ST",
            "address_2": "STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012818",
            "telephone_number": "307-337-4284",
            "fax_number": "307-462-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "307-382-3064",
            "fax_number": "307-382-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLESTON",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA630",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6306798-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Eardley
• Teresa R Eaton, B.A.
• Jaclyn June Edwards, RPH
• Ryann Edwards
• Wendy Edwards
• Lafe A Ellerbeck, PHARMD
• Kelsey E Ellis, PT DPT
• Empres at Rock Springs, LLC
• Richard Lee Endorf, M.D.
• Eric Meyer MD PC

• Physician Assistant in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.

Verify at the official NPI Registry.