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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DILLON NYE PA
NPI 1164173514
Physician Assistant - Surgical in Laramie, WY

Active since January 17, 2022PECOS Enrolled
1909 VISTA DR, LARAMIE, WY 82070(307) 745-8851 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 2, 2026, Jan 17, 2022 (2 updates tracked since 2022).

About Dillon Nye Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DILLON NYE PA (NPI 1164173514) is an individual surgical provider in Laramie, Wyoming, licensed in Wyoming (PT1514) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164173514
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDILLON NYECredential: PA
Location Address1909 VISTA DRLaramie, WY 82070-5530
Mailing Address1416 E Custer St Apt CLaramie, WY 82070-4193
Phone(307) 745-8851
Sole ProprietorNo
Enumeration DateJanuary 17, 2022
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1164173514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WY · PT1514
1909 VISTA DR, Laramie, WY 82070
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dillon Nye Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERENA HINTSA PA-C
Physician Assistant
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
DR. MARK E. MCKENNA MD
Orthopaedic Surgery
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
JERI BLACK-FARBER PT
Physical Therapist
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
DR. LAWRENCE A JENKINS MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
DAVE R BRUMBAUGH PA-C
Physician Assistant (Surgical)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
LARRY VENGENDEREN MD
Orthopaedic Surgery (Sports Medicine)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
SEAN R ENNIST RNFA
Registered Nurse (Registered Nurse First Assistant)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851
MR. GARY RICHARD SNELLER II PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
1909 VISTA DR
LARAMIE, WY 82070
Albany County (307) 745-8851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dillon Nye's NPI number?

The NPI number for Dillon Nye is 1164173514. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Dillon Nye located?

Dillon Nye practices at 1909 Vista Dr, Laramie, WY 82070. The listed phone number is (307) 745-8851.

What is Dillon Nye's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dillon Nye enrolled in Medicare?

Yes. Dillon Nye is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dillon Nye was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.