Molly E Means, PA
Individual provider Active NPI Physician Assistant · Cheyenne, WY
NPI 1982942132 · NPPES record last updated Feb 23, 2017
Key facts
- NPI
- 1982942132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 7124 Commons Dr C
Cheyenne, WY 82009-2620 - Phone
- (307) 426-4060
- Fax
- (307) 426-4061
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Americas Express Urgent Care LLC
Practice addresses (Care Compare)
7124 Commons Dr
Unit C
Cheyenne, WY 82009-2620
Phone (307) 426-4060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151211002437 | WY | Practitioner - Physician Assistant | 4587615828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
7124 Commons Dr C
Cheyenne, WY 82009-2620
Mailing address
7124 Commons Dr C
Cheyenne, WY 82009-2620
Phone (307) 426-4060
Other names
- Mary E Holen
NPI Registry JSON
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1982942132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7124 COMMONS DR C",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820092620",
"telephone_number": "307-426-4060",
"fax_number": "307-426-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7124 COMMONS DR C",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820092620",
"telephone_number": "307-426-4060",
"fax_number": "307-426-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEANS",
"first_name": "MOLLY",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "HOLEN",
"middle_name": "E",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cheyenne, WY
- Rollin Cary Mead
- Meade O Davis III MD PC
- Meadows Outpatient Center Wyoming LLC
- Meals on Wheels of Cheyenne Inc.
- Michael J Means
- Ageselaos John Meares
- Med Equip Partners LLC
- Medi Horizons Inc
- Medical Associates
- Medication Management Services Inc
All providers in Cheyenne, WY · Physician Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.