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

David K. Custis, PA-C

Individual provider Physician Assistant · NPI 1477516540

David K. Custis, PA-C is a Physician Assistant in Gillette, Wyoming. Graduated from University of North Dakota School of Medicine in 1982, 44 years ago. Practices with Campbell County Hospital District, a 130-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
44
Trained at
University of North Dakota School of Medicine
Licensed in
WY
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 688-3636
Fax: (307) 688-7920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA832 (WY)

Record details

NPI number1477516540
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing addressPo Box 3011, Gillette, WY 82717-3011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Campbell County Hospital District — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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