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ELLEN KINGDOM PA-C
NPI 1508480542
Physician Assistant in Cheyenne, WY

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
2301 HOUSE AVE STE 502, CHEYENNE, WY 82001(307) 635-4131 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2020, Jun 5, 2020 (2 updates tracked since 2020).

About Ellen Kingdom Pa-c NPPES

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

ELLEN KINGDOM PA-C (NPI 1508480542) is an individual physician assistant in Cheyenne, Wyoming, licensed in Wyoming (PT909) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Cheyenne Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508480542
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN KINGDOMCredential: PA-C
Location Address2301 HOUSE AVE STE 502Cheyenne, WY 82001-3179
Mailing Address2301 House Ave Ste 502Cheyenne, WY 82001-3179 · (307) 635-4131
Phone(307) 635-4131
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1508480542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WY · PT909✔ Licensed in CO · PA.0006279
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.
2301 HOUSE AVE STE 502, Cheyenne, WY 82001
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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, 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

Ellen Kingdom 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 ID6800209388
PECOS Enrollment IDI20201229002344
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.

Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
16 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82001 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers50 claims7,560 services$1.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. JOHN F BRYANT M.D.
Urology
2301 HOUSE AVE STE 502
CHEYENNE, WY 82001
Laramie County (307) 635-4131
KATELYNN LOKEN PA-C
Physician Assistant (Surgical)
2301 HOUSE AVE STE 502
CHEYENNE, WY 82001
Laramie County (307) 635-4131
DR. BILL DOUGLAS HARRIS D.O.
Urology
2301 HOUSE AVE STE 502
CHEYENNE, WY 82001
Laramie County (307) 635-4131
CHEYENNE UROLOGICAL PC
Urology
2301 HOUSE AVE STE 502
CHEYENNE, WY 82001
Laramie County (307) 635-4131

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 Ellen Kingdom's NPI number?

The NPI number for Ellen Kingdom is 1508480542. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Ellen Kingdom located?

Ellen Kingdom practices at 2301 House Ave Ste 502, Cheyenne, WY 82001. The listed phone number is (307) 635-4131.

What is Ellen Kingdom's specialty?

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

Is Ellen Kingdom enrolled in Medicare?

Yes. Ellen Kingdom 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 Ellen Kingdom accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Ellen Kingdom 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 Ellen Kingdom affiliated with any hospitals?

According to CMS data, Ellen Kingdom is affiliated with Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ellen Kingdom was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.