Robert Wade Washburn, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

NCCPA 1045811

Practice address

6900 Alden Dr
90 MDG
Fe Warren Afb, WY 82005-3906

Phone

(307) 773-3461

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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.

• Dod Fe Warren Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Fe Warren Afb, WY
  • NPI 1578979688
  NPD
• Fe Warren Medical Group

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fe Warren Afb, WY
  • NPI 1609859826
  NPD

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952382822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "address_2": "90 MDG",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820053906",
            "telephone_number": "307-773-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "address_2": "90 MDG",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820053906",
            "telephone_number": "307-773-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "ROBERT",
        "middle_name": "WADE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "NCCPA 1045811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kiel Shields, IDMT
• Kelly Smerling
• Cal Richard Smith, PA-C
• John Batterson Stetson V, MD PSYCHIATRIST
• Wendy Lisa Stevens, PA-C
• Jason Noel Whiting, DDS
• Timothy Jack Wilcox, PHD
• Tenille Woodward, PSYD

• Medical Physician Assistant in Fe Warren Afb, WY
• Providers in Fe Warren Afb, WY by specialty
• Medical Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.