Unknown Individual – Surgical Physician Assistant, NPI 1356429575

Unknown Individual is a healthcare provider. based in Cheyenne, Wyoming. specializing in Surgical Physician Assistant. They hold a License No. 125 (WY). The NPI Number for Unknown Individual is 1356429575

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356429575
Phone
(307) 631-5511
Address
214 E 23RD ST
Deactivation Date
21 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Cheyenne Regional Medical Center, 214, East 23rd Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    SURGICAL SERVICES

    CHEYENNE, WY 820013748

    Phone: (307) 631-5511

    Fax: (307) 633-6012

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 82001)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1356429575?
NPI 1356429575 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Wyoming is Unknown Individual registered?
Use Cheyenne, Wyoming as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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