MICHAEL JOHN IBRAHIM
NPI 1235926148
Physician Assistant in Casper, WY

Q: What is Michael Ibrahim's NPI number?

The NPI number for Michael Ibrahim is 1235926148. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Q: What is Michael Ibrahim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ibrahim was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 23, 2025PECOS EnrolledAccepts Medicare Assignment

428 S DURBIN ST STE 104, CASPER, WY 82601(307) 337-4284(307) 224-3436 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael John Ibrahim NPPES

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

MICHAEL JOHN IBRAHIM (NPI 1235926148) is an individual physician assistant in Casper, Wyoming, licensed in Wyoming (PA1343) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Wyoming Medical Center, and is a graduate of University Of Washington School Of Medicine (2024).

NPPES Registry Identity

NPI1235926148

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL JOHN IBRAHIM

Location Address428 S DURBIN ST STE 104Casper, WY 82601-2829

Mailing Address428 S Durbin St Ste 104Casper, WY 82601-2829 · (307) 337-4284 · Fax (307) 224-3436

Phone(307) 337-4284

Fax(307) 224-3436

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2024

Enumeration DateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1235926148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WY · PA1343

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

428 S DURBIN ST STE 104, Casper, WY 82601

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Accepted Insurance

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

Michael John Ibrahim 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 ID6800307661

PECOS Enrollment IDI20250618000939

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.

Hospital Affiliations CMS Care Compare 2

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

Wyoming Medical Center

Acute Care Hospitals · Casper, WY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number530012

Location1233 East 2nd StCasper, WY 82601 · Natrona County

Emergency services Birthing friendly

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY

OwnershipGovernment - Local

CMS Certification Number531302

Location111 South 5th StreetDouglas, WY 82633 · Converse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

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