Individual provider Active NPI

Rodney Guy Palmer Jr., PA-C

  • Physician Assistant
  • Cody, WY
National Provider Identifier
1811674021
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PT1131 Issued in WY
Practice address
720 Lindsay LN
Cody, WY 82414-4142
Phone
(307) 586-2506
NPI assigned
Jun 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 PT1131 WY Primary

Addresses

Primary practice location

720 Lindsay LN
Cody, WY 82414-4142

Mailing address

168 W 8TH St
Lovell, WY 82431-1513
Phone (307) 272-3228

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240314003823 WY Practitioner - Physician Assistant 5092151860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
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)

388 US Hwy 20 S
Basin, WY 82410-8902
Phone (307) 568-3311

424 Yellowstone Ave
Cody, WY 82414-9309
Phone (307) 527-7501

525 N 5TH St
Basin, WY 82410-5024
Phone (307) 568-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PT1131WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Hospital District CurrentSince Aug 23, 2023 Accepting new patients
Cody Regional Health EMS CurrentSince Aug 23, 2023 Accepting new patients
West Park Hospital District CurrentSince Nov 1, 2024 Accepting new patients
West Park Hospital District Past Accepting new patients
North Big Horn Hospital Past Accepting new patients

Locations

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Cody, WY 82414
Phone (307) 578-2903

1115 Lane 12
Lovell, WY 82431
Phone (307) 548-2771

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16076/brand/3/csg/1/fhir/r4

Organizations & group practices 6

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 2

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1811674021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W 8TH ST",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824311513",
            "telephone_number": "307-272-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144142",
            "telephone_number": "307-586-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RODNEY",
        "middle_name": "GUY",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT1131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.