NPIMap

Individual provider Active NPI

Shawn William Ficken, PA-C

  • Physician Assistant
  • Casper, WY
National Provider Identifier
1871809699
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
502 Issued in WY
Practice address
419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone
(307) 265-1620
Fax
(307) 237-1074
NPI assigned
Aug 31, 2010
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 502 WY Primary

Addresses

Primary practice location

419 S Washington St
Suite 101
Casper, WY 82601-2951

Mailing address

419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone (307) 265-1620

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
I20110104000584 WY Practitioner - Physician Assistant 4486843695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Casper Medical Imaging PCGroup PAC ID 8224010871, 25 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (307) 265-1620

419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone (307) 265-1620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
502WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shawn.ficken.1@29134.direct.athenahealth.com
  • Direct secure messaging: shawn.ficken@direct.wyomingmedicalcenter.org

Organizations & group practices 2

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 6

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1871809699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-265-1620",
            "fax_number": "307-237-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-265-1620",
            "fax_number": "307-237-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKEN",
        "first_name": "SHAWN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.