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

Individual provider Physician Assistant · NPI 1548814890

Jonathan R Courtright, PA is a Physician Assistant in Cheyenne, Wyoming. Qualified in 2020, 6 years ago. Practices with Ivinson Memorial Hospital, a 60-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
6
Licensed in
WY
In the registry since
2019
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

6900 Alden Dr
Cheyenne, WY 82005-2945
Phone: (307) 773-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Bodin Cir, Fairfield, CA 94535-1809 — (919) 770-6277
  • 2301 House Ave Ste 301, Cheyenne, WY 82001-3178 — (307) 637-1600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1119 (WY)

Record details

NPI number1548814890
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address6900 Alden Dr, Cheyenne, WY 82005-2945

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ivinson Memorial Hospital — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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