ARCHIE MAURICE PETTRY III M.S.
NPI 1821434622
Counselor - Professional in Casper, WY

Active since May 20, 2013PECOS EnrolledAccepts Medicare Assignment
701 ANTLER DR STE 110, CASPER, WY 82601(307) 466-8008 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Archie Maurice Pettry Iii M.s. NPPES

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

ARCHIE MAURICE PETTRY III M.S. (NPI 1821434622) is an individual professional provider in Casper, Wyoming, licensed in Wyoming (LPC-1522) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1821434622
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameARCHIE MAURICE PETTRY IIICredential: M.S.
Location Address701 ANTLER DR STE 110Casper, WY 82601-1747
Mailing Address701 Antler Dr Ste 110Casper, WY 82601-1747 · (307) 466-8008
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 20, 2013
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
NPI 1821434622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WY · LPC-1522
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC-1522 (WY)
701 ANTLER DR STE 110, Casper, WY 82601

Accepted 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

Archie Maurice Pettry Iii M.s. 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 ID6709301120
PECOS Enrollment IDI20250418000313
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.

Social Worker (Clinical)
701 ANTLER DR STE 110
CASPER, WY 82601
Peer Specialist
701 ANTLER DR STE 110
CASPER, WY 82601

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 Archie Pettry's NPI number?

The NPI number for Archie Pettry is 1821434622. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Archie Pettry located?

Archie Pettry practices at 701 Antler Dr Ste 110, Casper, WY 82601. The listed phone number is (307) 466-8008.

What is Archie Pettry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Archie Pettry enrolled in Medicare?

Yes. Archie Pettry 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 Archie Pettry accept?

Health plans from Blue Cross Blue Shield of Wyoming list Archie Pettry 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.

When was this NPI record last updated?

The NPPES record for Archie Pettry was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.