Active NPI
Cynthia S. White, PA-C
- Medical Physician Assistant
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3307
- Practice address
- 1330 Prairie Ave
Cheyenne, WY 82009-4842 - Phone
- (307) 778-8997
- Fax
- (706) 270-0487
- NPI assigned
- Oct 17, 2011
- Last updated
- Jan 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3307 | CO | Primary |
Addresses
Primary practice location
1330 Prairie Ave
Cheyenne, WY 82009-4842
Mailing address
PO Box 2153 Dept 40339
Birmingham, AL 35287-9387
Phone (706) 271-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21920851 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Village Rd
Carbondale, CO 81623-1564
Phone (970) 963-1500
1250 Village Rd
Carbondale, CO 81623-1564
Phone (970) 963-1500
530 W 16TH St
Salida, CO 81201-2240
Phone (719) 539-6112
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 540 | WY | MD | Mental Health Counselor |
| 3307 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Colorado PC | Current | Accepting new patients | |
| Physician Onsite, Inc | Past | Accepting new patients | |
| Inpatient Consultants of Colorado, PC | Past | Accepting new patients |
Locations
2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550
Organizations & group practices 4
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, TN
- NPI 1770807919
CO, WY
-
- Hospitalist Physician
- Aurora, CO
- NPI 1720184690
-
- Internal Medicine Physician
- Denver, CO
- NPI 1538461256
-
- Geriatric Medicine (Internal Medicine) Physician
- Cleveland, TN
- NPI 1174897888
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cheyenne Regional Medical Center
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1699050096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153 DEPT 40339",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352879387",
"telephone_number": "706-271-0100",
"fax_number": "706-270-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 PRAIRIE AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094842",
"telephone_number": "307-778-8997",
"fax_number": "706-270-0487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CYNTHIA",
"middle_name": "S.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "3307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21920851",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.