JASON PATRICK WISSINGER (MD) – Case Manager/Care Coordinator, NPI 1639297674

JASON PATRICK WISSINGER (MD) is a healthcare provider. based in Cheyenne, Wyoming. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 173T2 (WY). The NPI Number for JASON PATRICK WISSINGER (MD) is 1639297674

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JASON PATRICK WISSINGER (MD)
NPI
1639297674
Phone
(307) 632-2434
Address
820 E 17th St
Enumeration Date
27 March 2007
Last Update Date
7 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4063271850
Graduation Year
2019 (7 years ago)
PAC ID
3870999337
Group Practice PAC ID
6608786306
Professional Enrollment ID
I20230828001489
Address ID
MT598081390MI3075XSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

328 FAMILY PRACTICE in WY

Provider Addresses for JASON PATRICK WISSINGER (MD)

  • 820 E 17th St

    Cheyenne, WY 820014714

    Phone: (307) 632-2434

    Type: Location

  • 27738 MOFFAT RD

    EVERGREEN, CO 804395736

    Phone: (303) 504-1620

    Type: Mailing

  • 1555 HUMBOLDT ST

    DENVER, CO 802181614

    Phone: (303) 504-1620

    Type: Location

  • 6812 MORELAND AVE

    CHEYENNE, WY 820092504

    Phone: (720) 212-5316

    Type: Mailing

  • 820 E 17TH ST

    CHEYENNE, WY 820014714

    Phone: (307) 632-2434

    Type: Location

  • PO BOX 12

    LIBERTY LAKE, WA 990190012

    Phone: (866) 747-2455

    Fax: (406) 329-2659

    Type: Mailing

  • 3075 N RESERVE ST STE Q

    MISSOULA, MT 598081390

    Phone: (406) 327-1850

    Fax: (406) 327-1875

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Exact Sciences Corporation ($26).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-08-28

PECOS data refreshed: 2026-06-15

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
I20230828001489IFamily PracticeMTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2725$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
99215Established patient office or other outpatient visit, 40-54 minutes1615$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1212$0
G0008Administration of influenza virus vaccine1212$0
View full utilization report →

Insurance plans in this area (ZIP 82001)

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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: 6608786306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineWA
Cardiovascular Disease (Cardiology)MT
-MT
N E P H R O L O G YMT
-MT
Thoracic SurgeryIL
Internal Medicine, HospitalistMT
General Surgery, Colorectal Surgery (Proctology)WI
Internal MedicineID
Nurse PractitionerAK

Reviews

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Frequently asked questions

Does JASON PATRICK WISSINGER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JASON PATRICK WISSINGER (MD) uses 1639297674.
Does CMS list JASON PATRICK WISSINGER (MD) as active?
Yes — JASON PATRICK WISSINGER (MD) is active in the NPI listing used on this page.
What taxonomy line describes JASON PATRICK WISSINGER (MD)?
For research purposes, treat JASON PATRICK WISSINGER (MD) as Case Manager/Care Coordinator in this dataset. Clinical services aligned with this taxonomy classification.
Where is JASON PATRICK WISSINGER (MD) based?
JASON PATRICK WISSINGER (MD) is tied to Cheyenne, Wyoming in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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