NPIMap

Individual provider Active NPI

Bryan Kenneth Tipton, PA-C, MPAS

  • Physician Assistant
  • Powell, WY
National Provider Identifier
1780149948
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA827 Issued in WY
Practice address
777 Avenue H
Powell, WY 82435-2260
Phone
(307) 754-7257
Fax
(307) 754-7217
NPI assigned
Feb 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA827 WY Primary
Medical Physician Assistant 363AM0700X PT827 WY

Addresses

Primary practice location

777 Avenue H
Powell, WY 82435-2260

Mailing address

777 Avenue H
Powell, WY 82435-2260
Phone (307) 754-2267

Other practice location 1

8185 State Highway 789
Lander, WY 82520-2942
Phone (307) 206-9300

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
I20191021000678 WY Practitioner - Physician Assistant 1759612930 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians
Powell Valley Healthcare IncGroup PAC ID 5092798561, 31 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257

Hospital & facility affiliations

  • Powell Valley Hospital Hospital, Powell, WY, CCN 531310
  • Cody Regional Health Hospital, Cody, WY, CCN 531312
  • Hot Springs County Memorial Hospital Hospital, Thermopolis, WY, CCN 531304
  • Washakie Medical Center Hospital, Worland, WY, CCN 531306
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Powell Valley Hospital Nursing home, CCN 53Z310

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA827WYMDPhysician Assistant
PT827WYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washakie Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Powell Valley Healthcare Inc CurrentSince Sep 15, 2019 Accepting new patients
Powell Valley Health Care Inc CurrentSince Sep 15, 2019 Accepting new patients
Hot Springs County Hospital District Current Accepting new patients
Hot Springs County Hospital District CurrentSince Aug 17, 2019 Accepting new patients
Hot Springs County Hospital District CurrentSince Aug 17, 2019 Accepting new patients

Locations

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

450 Mountain View St
Unit B
Powell, WY 82435
Phone (307) 754-1202

1001 W Main St
Ste B
Riverton, WY 82501
Phone (800) 928-6040

150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: btipton1@powellvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: btipton@hscmh.cernerdirect.com

Organizations & group practices 12

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1780149948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-2267",
            "fax_number": "307-754-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-7257",
            "fax_number": "307-754-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8185 State Highway 789",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825202942",
            "country_code": "US",
            "telephone_number": "307-206-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "BRYAN",
        "middle_name": "KENNETH",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA827",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "PT827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.