Kenzie Ann Nichols
Kenzie Ann Nichols is a Physician Assistant in Pine Bluffs, Wyoming. Qualified in 2023, 3 years ago. Practices with Cheyenne Regional Physicians Group LLC, a 103-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
Practice location Address checks out
830 Sanders DrPine Bluffs, WY 82082-9755
Phone: (307) 575-7835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1417642687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 5, 2023 |
| Last updated in NPPES | October 17, 2025 |
| Certification date | October 17, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Cheyenne Regional Physicians Group Llc — 103 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |