1. Home
  2. Directory
  3. Wyoming
  4. Casper
  5. Physician Assistant
  6. NPI Profile

CHRISTOPHER PRUITT PA
NPI 1629800032
Physician Assistant - Medical in Casper, WY

Active since August 14, 2024PECOS Enrolled
1300 VENTURE WAY STE 206, CASPER, WY 82609(307) 268-9904 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Aug 14, 2024 (2 updates tracked since 2024).

About Christopher Pruitt Pa NPPES

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

CHRISTOPHER PRUITT PA (NPI 1629800032) is an individual medical provider in Casper, Wyoming, licensed in Wyoming (PA1408) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629800032
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHRISTOPHER PRUITTCredential: PA
Location Address1300 VENTURE WAY STE 206Casper, WY 82609-4353
Mailing Address1300 Venture Way Ste 206Casper, WY 82609-4353 · (307) 268-9904
Phone(307) 268-9904
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 14, 2024
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1629800032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WY · PA1408
1300 VENTURE WAY STE 206, Casper, WY 82609
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3274026349
PECOS Enrollment IDI20251205003467
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 2

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

MS HOLDINGS, LLC
Nurse Practitioner (Family)
1300 VENTURE WAY STE 206
CASPER, WY 82609
Natrona County (307) 268-9904
DR. REBECCA M THARP DNP, FNP-C, APRN
Nurse Practitioner (Family)
1300 VENTURE WAY STE 206
CASPER, WY 82609
Natrona County (307) 268-9904

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 Christopher Pruitt's NPI number?

The NPI number for Christopher Pruitt is 1629800032. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Christopher Pruitt located?

Christopher Pruitt practices at 1300 Venture Way Ste 206, Casper, WY 82609. The listed phone number is (307) 268-9904.

What is Christopher Pruitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Christopher Pruitt enrolled in Medicare?

Yes. Christopher Pruitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Pruitt was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.