AMY NICOLE LEDOUX (P.A.C) – Physician Assistant, NPI 1205147576

AMY NICOLE LEDOUX (P.A.C) is a healthcare provider. based in Sheridan, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C. The NPI Number for AMY NICOLE LEDOUX (P.A.C) is 1205147576

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AMY NICOLE LEDOUX (P.A.C)
NPI
1205147576
Phone
(307) 672-8941
Address
206 N BROOKS ST
Enumeration Date
1 July 2010
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076728941
Graduation Year
2010 (16 years ago)
PAC ID
5597942292
Group Practice PAC ID
0244301844
Professional Enrollment ID
I20110607000082
Address ID
WY828015644SH1662XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:15State licenses:0Digital endpointsOther names

324 PHYSICIAN ASSISTANT in WY

Provider Addresses for AMY NICOLE LEDOUX (P.A.C)

  • 206 N BROOKS ST

    SHERIDAN, WY 828013801

    Phone: (307) 672-8941

    Fax: (307) 672-7461

    Type: Location

  • 1662 S SHERIDAN AVE

    SHERIDAN, WY 828015644

    Phone: (307) 672-8941

    Fax: (307) 672-7461

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Amgen Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$13
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110607000082IPhysician AssistantWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,083266$0
99213Established patient office or other outpatient visit, 20-29 minutes968774$0
17000Destruction of precancer skin growth, 1 growth408358$0
11102Biopsy of related skin growth, first growth244230$0
99203New patient office or other outpatient visit, 30-44 minutes225225$0
View full utilization report →

Insurance plans in this area (ZIP 82801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244301844View full group profile
NameSpecialtyState
Physician AssistantWY
D E R M A T O L O G YWY
Nurse PractitionerWY

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMY NICOLE LEDOUX (P.A.C)?
AMY NICOLE LEDOUX (P.A.C) — NPI 1205147576 — is the standard way to identify this listing.
Can I rely on AMY NICOLE LEDOUX (P.A.C) being an active provider?
As of the registry snapshot, AMY NICOLE LEDOUX (P.A.C) is marked active.
What taxonomy line describes AMY NICOLE LEDOUX (P.A.C)?
For research purposes, treat AMY NICOLE LEDOUX (P.A.C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect AMY NICOLE LEDOUX (P.A.C) on a map?
Expect Sheridan, Wyoming as a primary anchor for AMY NICOLE LEDOUX (P.A.C) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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