Individual provider Active NPI

Jenni L Griffith, PA-C

  • Physician Assistant
  • Casper, WY
National Provider Identifier
1952881872
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA849 Issued in WY
Practice address
1416 E a St Ste 101
Casper, WY 82601-2276
Phone
(307) 577-8600
NPI assigned
Aug 20, 2018
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 PA849 WY Primary

Addresses

Primary practice location

1416 E a St Ste 101
Casper, WY 82601-2276

Mailing address

1416 E a St Ste 101
Casper, WY 82601-2276
Phone (307) 577-8600

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
I20201026000610 WY Practitioner - Physician Assistant 3173943487 Reassigns benefits to 1 organization

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
Central Wyoming Urological Associates, PCGroup PAC ID 2668454588, 7 clinicians

Practice addresses (Care Compare)

1416 E a St
Suite 101
Casper, WY 82601-2276
Phone (307) 577-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.5 of 100Reported as group
Quality
25
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA849WYMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jennigriffith@cwu.allscriptsdirect.net

Organizations & group practices 1

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 4

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1952881872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E A ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012276",
            "telephone_number": "307-577-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E A ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012276",
            "telephone_number": "307-577-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JENNI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.