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MONTANNA LEE MERRICK PA-C
NPI 1205697315
Physician Assistant - Surgical in Cheyenne, WY

Active since January 17, 2024PECOS EnrolledAccepts Medicare Assignment
4003 RAWLINS ST, CHEYENNE, WY 82001(307) 632-1114 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2024, Nov 14, 2024, Sep 16, 2024 (3 updates tracked since 2024).

About Montanna Lee Merrick Pa-c NPPES

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

MONTANNA LEE MERRICK PA-C (NPI 1205697315) is an individual surgical provider in Cheyenne, Wyoming, licensed in Wyoming (PA1221) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Cheyenne Regional Medical Center, and is a graduate of Creighton University School Of Medicine (2023).

NPPES Registry Identity

NPI1205697315
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMONTANNA LEE MERRICKCredential: PA-C
Location Address4003 RAWLINS STCheyenne, WY 82001-1800
Mailing Address4811 Kester StCheyenne, WY 82001-2085 · (307) 274-6576
Phone(307) 632-1114
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2023
Enumeration DateJanuary 17, 2024
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1205697315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WY · PA1221
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1221 (WY)
4003 RAWLINS ST, Cheyenne, WY 82001
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Other Names 1

Former Name (1)Montanna Lee Chrystal

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Montanna Lee Merrick Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355788993
PECOS Enrollment IDI20240319002168
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

MOUNTAIN WEST SURGICAL SPECIALISTS LLC
Surgery (Trauma Surgery)
4003 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 323-2679
DR. SHERIEDAN ELIZABETH GRANNAN FNP-C
Nurse Practitioner (Family)
4003 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 638-8975
DR. NATHANIEL A KAAN M.D.
Surgery
4003 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 323-2679
JEREMY D GATES MD
Surgery
4003 RAWLINS ST
CHEYENNE, WY 82001
Laramie County (307) 323-2679
MRS. JILL E. GIRANY FNP-C
Nurse Practitioner (Family)
4003 RAWLINS ST
CHEYENNE, WA 82001
Laramie County (307) 638-8975

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 Montanna Merrick's NPI number?

The NPI number for Montanna Merrick is 1205697315. It was assigned to this individual provider in the NPPES registry on January 17, 2024. The provider is also known as Montanna Lee Chrystal.

Where is Montanna Merrick located?

Montanna Merrick practices at 4003 Rawlins St, Cheyenne, WY 82001. The listed phone number is (307) 632-1114.

What is Montanna Merrick's specialty?

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

Is Montanna Merrick enrolled in Medicare?

Yes. Montanna Merrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Montanna Merrick accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Montanna Merrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Montanna Merrick affiliated with any hospitals?

According to CMS data, Montanna Merrick is affiliated with Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Montanna Merrick was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.