Lynn P Perlenfein, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5972 Issued in AZ

Practice address

1050 Gail Gardner Way
Ste 300
Prescott, AZ 86305-1630

Phone

(928) 717-5232

Fax

(928) 717-5238

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Campbell County Health Hospital, Gillette, WY, CCN 530002

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.

• Big Horn Pediatrics

  • Pediatrics Physician
  • Gillette, WY
  • NPI 1477660447
  Medicare reassignment
• Crook County Medical Services District

  • Family Medicine Physician
  • Moorcroft, WY
  • NPI 1447328638
  NPD (past)
• Urgent Care of Wyoming Inc.

  • Nurse Practitioner
  • Gillette, WY
  • NPI 1609896455
  NPD (past)
• Victor R. Michalak

  • Ambulatory Surgical Clinic/Center
  • Issaquah, WA
  • NPI 1104877976
  NPD (past)

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

• Campbell County Hospital District

  • General Acute Care Hospital
  • Gillette, WY
  • NPI 1487638417
  Care Compare affiliation
• Campbell County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Gillette, WY
  • NPI 1780738153

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1881641553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "928-717-5232",
            "fax_number": "928-717-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GAIL GARDNER WAY",
            "address_2": "STE 300",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051630",
            "telephone_number": "928-717-5232",
            "fax_number": "928-717-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLENFEIN",
        "first_name": "LYNN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "WY176",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120567600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Fallon Inc
• Holly Perham, PHD, NCSP
• Asya Ruth Perkins, M.A., LPC-16532
• Jaron Beau Perkins, D.M.D.
• Marla Beth Perkins, SLP
• Katelynn Perlman, LPC
• Permar Physical Therapy
• Gage Permar, DPT
• Trale Barry Permar, M.D.
• Denise Perry

• Physician Assistant in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.