Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher Pruitt, PA

Individual provider Medical Physician Assistant · NPI 1629800032

Christopher Pruitt, PA is a Physician Assistant in Casper, Wyoming. Qualified in 2025, 1 year ago. Licensed in Wyoming.

Years since qualifying
1
Licensed in
WY
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1300 Venture Way Ste 206
Casper, WY 82609-4353
Phone: (307) 268-9904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1408 (WY)

Record details

NPI number1629800032
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address1300 Venture Way Ste 206, Casper, WY 82609-4353

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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