Shelly Willes Owen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TL519 Issued in WY

Practice address

2820 Central Ave Ste a
Billings, MT 59102-8624

Phone

(406) 252-8346

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelly R Willes Former name

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cody Regional Health Hospital, Cody, WY, CCN 531312

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• West Park Hospital District

  • Critical Access Hospital
  • Cody, WY
  • NPI 1558351536
  Medicare reassignment Care Compare group
• Wyoming Health Medical Group, LLC

  • Internal Medicine Physician
  • Casper, WY
  • NPI 1730324872
  NPD (past)

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

• Cody Regional Health EMS

  • Land Ambulance
  • Cody, WY
  • NPI 1366432197

  Hospital

  Care Compare affiliation
• West Park Hospital District

  • Critical Access Hospital
  • Cody, WY
  • NPI 1558351536
  Care Compare affiliation

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1699064410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-358-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CENTRAL AVE STE A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591028624",
            "telephone_number": "406-252-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "SHELLY",
        "middle_name": "WILLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "TL519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "WILLES",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa L Otto, M.D.
• Ottun Chiropractic, P.C.
• Joeleen Ottun Cox, D.C.
• Paul R Ouradnik, DPM
• Kimberly C Overvold, LCSW, LAC
• Thomas Owen, MD
• Ashlee Owens, LCSW
• Hannah Owens, MSN, FNP-C
• Rebecca Lynn Webber Owens, MA LCPC
• Tylee Oxendahl

• Physician Assistant in Billings, MT
• Providers in Billings, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.