EISAAC CHARLES OWENS FLOWERS (PA) – Physician Assistant, NPI 1275351496

EISAAC CHARLES OWENS FLOWERS (PA) is a healthcare provider. based in Riverton, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1310 (WY). The NPI Number for EISAAC CHARLES OWENS FLOWERS (PA) is 1275351496

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
EISAAC CHARLES OWENS FLOWERS (PA)
NPI
1275351496
Phone
Not provided
Address
2002 W SUNSET DR STE 2
Enumeration Date
26 September 2024
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3078645534
Graduation Year
2024 (2 years ago)
PAC ID
7214463157
Group Practice PAC ID
9234020439
Professional Enrollment ID
I20241216001421
Address ID
WY825012285RI2002XDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

324 PHYSICIAN ASSISTANT in WY

Provider Addresses for EISAAC CHARLES OWENS FLOWERS (PA)

  • 2002 W SUNSET DR STE 2

    RIVERTON, WY 825012285

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-16

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
I20241216001421IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82501)

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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: 9234020439View full group profile
NameSpecialtyState
Diagnostic RadiologyWY
Family PracticeWY
U R O L O G YCO
Family PracticeMT
Orthopedic SurgeryCA
Family PracticeWY
Physician AssistantWY
General SurgeryWY
Nurse PractitionerWY
Nurse PractitionerWY

Reviews

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Frequently asked questions

How do payers reference EISAAC CHARLES OWENS FLOWERS (PA)?
For EISAAC CHARLES OWENS FLOWERS (PA), use NPI 1275351496 as the unique 10-digit identifier.
Is there an active status for EISAAC CHARLES OWENS FLOWERS (PA)?
For scheduling context, EISAAC CHARLES OWENS FLOWERS (PA) is shown as active in the registry.
What expertise is attributed to EISAAC CHARLES OWENS FLOWERS (PA)?
EISAAC CHARLES OWENS FLOWERS (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with EISAAC CHARLES OWENS FLOWERS (PA)?
Directory geography for EISAAC CHARLES OWENS FLOWERS (PA) centers on Riverton, Wyoming.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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