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

John R Vipperman, PAC

Individual provider Medical Physician Assistant · NPI 1992787980

John R Vipperman, PAC is a Physician Assistant in Cody, Wyoming. Qualified in 1998, 28 years ago. Practices with West Park Hospital District, a 82-clinician group and accepts Medicare assignment. Licensed in Montana and Wyoming.

Years since qualifying
28
Licensed in
MT, WY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

3030 Big Horn Ave
Cody, WY 82414-9208
Phone: (307) 578-1955
Fax: (307) 578-1979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 207 (WY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 306 (MT)

Record details

NPI number1992787980
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address3030 Big Horn Ave, Cody, WY 82414-9208

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice West Park Hospital District — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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