NPIMap

Individual provider Active NPI

Clint Earl Merritt, P.A.-C

  • Physician Assistant
  • Cody, WY
National Provider Identifier
1659521144
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
459 Issued in WY
Practice address
720 Lindsay LN
Suite C
Cody, WY 82414-4103
Phone
(307) 578-2180
Fax
(307) 578-2181
NPI assigned
Sep 22, 2008
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 459 WY Primary

Addresses

Primary practice location

720 Lindsay LN
Suite C
Cody, WY 82414-4103

Mailing address

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000253 WY Practitioner - Physician Assistant 1153481007 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians
North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians

Practice addresses (Care Compare)

1115 Lane
Suite 12
Lovell, WY 82431-9537
Phone (307) 578-2180

120 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5870

401 S 15TH St
Worland, WY 82401-3530
Phone (307) 578-2180

424 Yellowstone Ave
Suite 120
Cody, WY 82414-9311
Phone (307) 578-2904

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

720 Lindsay LN
Suite C
Cody, WY 82414-4143
Phone (307) 578-2180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.81 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
72.82
Promoting interoperability
100
Improvement activities
40
Cost
63.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District CurrentSince May 1, 2026 Accepting new patients
West Park Hospital District CurrentSince Dec 7, 2017 Accepting new patients
North Lincoln County Hospital District CurrentSince May 1, 2026 Accepting new patients
West Park Hospital District CurrentSince Nov 1, 2008 Accepting new patients

Locations

120 Hospital Ln
Afton, WY 83110
Phone (307) 734-5864

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

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

Organizations & group practices 5

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.

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1659521144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143409",
            "telephone_number": "307-527-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN",
            "address_2": "SUITE C",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144103",
            "telephone_number": "307-578-2180",
            "fax_number": "307-578-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "CLINT",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.