Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508480542 Individual Practitioner Female Practitioner

Ellen Kingdom , PA-C

Physician Assistant • Cheyenne, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ellen Kingdom, PA-C is a certified Physician Assistant practicing in Cheyenne, WY. With approximately 6 years of clinical experience since completing medical education in 2020, Ellen Kingdom delivers high-quality medical care to the local community at 2301 HOUSE AVE STE 502.

Ellen Kingdom is affiliated with Cheyenne Urological P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include manual urinalysis test with examination using microscope, non-automated, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2301 House Ave Ste 502

Cheyenne, WY 820013179

Telephone 3076354131
Associated Practice Facility / Clinic
🏢 Cheyenne Urological Pc Facility NPI 1942388178

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cheyenne, WY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.9 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Cheyenne, WY (263 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kingdom (6 Years) 6 Yrs
Cheyenne Specialty Average (12.9 Years) 12.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated
16 13 $35.00 $2.82
99213 Established patient office or other outpatient visit, typically 15 minutes
13 11 $215.00 $56.87

Medical Specialties & State Licenses

CMS Verified: 2020-10-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WY PT909

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CO PA.0006279

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.

Hospital & Practice Group Affiliations

Cheyenne Urological P C

2301 House Ave, Cheyenne, WY 820013179

Phone: 3076354131

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1346328556

Doctor of Medicine (M.D.)

Katelynn Loken , PA-C

Physician Assistant - Surgical

NPI 1447920269

Physician Assistant (Certified)

Kathryn Heimer , APRN

Nurse Practitioner - Family

NPI 1609060524

Advanced Practice Registered Nurse

NPI 1831277029

Doctor of Osteopathic Medicine (D.O.)

NPI 1992899223

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 04, 2020

Registered at 2301 HOUSE AVE STE 502, CHEYENNE, WY 820013179 (Tel: 3076354131)

📍
Updated Business Mailing Address December 04, 2020

Registered at 2301 HOUSE AVE STE 502, CHEYENNE, WY 820013179 (Tel: 3076354131)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2020

Physician Assistant (License #PT909 in WY)

NPI Profile Active June 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2020

Registered at 4397 RONALD REAGAN BLVD, JOHNSTOWN, CO 805346445 (Tel: 9706633200)

📍
Updated Business Mailing Address June 05, 2020

Registered at 1115 MOHAWK RD, WILMETTE, IL 600911244 (Tel: 8476447376)

👤
Provider Name / Credentials Updated June 05, 2020

Recorded as ELLEN KINGDOM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2020

Physician Assistant (License #PA.0006279 in CO)

🟢
Initial NPI Registration & Enumeration June 05, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508480542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2020
Last Update: December 04, 2020
Sole Proprietor: No

Mailing Address

2301 House Ave Ste 502

Cheyenne, WY 820013179

Phone: 3076354131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.