MRS. KELLY K. SIMONE (PA) – Physician Assistant, NPI 1770529703
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 PHYSICIAN ASSISTANT in WY
Provider Addresses for MRS. KELLY K. SIMONE (PA)
777 AVENUE H
POWELL, WY 824352260
Phone: (307) 754-2267
Type: Location
424 Yellowstone Ave Ste 120
Cody, WY 824149311
Phone: (307) 578-2903
Type: Location
West Park Hospital, 707, Sheridan Avenue, Cody, Park County, Wyoming, 82414, United States
WEST PARK HOSPITAL
CODY, WY 82414
Phone: (307) 578-2480
Fax: (307) 578-2492
Type: Mailing
Yellowstone Avenue, Cody, Park County, Wyoming, 82414, United States
CODY, WY 824149311
Phone: (307) 578-2903
Type: Location
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: 2006-02-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060224000165 | I | Physician Assistant | WY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 53 | $0 |
Insurance plans in this area (ZIP 82435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MT | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| General Practice | WA | |
| - | OH | |
| Physician Assistant | MT | |
| Nurse Practitioner | ID | |
| Physician Assistant | MT | |
| Diagnostic Radiology | MT | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| - | MT |
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