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

Michael Dallin Richards

Individual provider Medical Physician Assistant · NPI 1255121638

Michael Dallin Richards is a Physician Assistant in Casper, Wyoming. Qualified in 2025, 1 year ago. Practices with Casper Medical Imaging PC, a 24-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
1
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

419 S Washington St Ste 101
Casper, WY 82601-2951
Phone: (307) 265-1620
Fax: (307) 237-1074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1255121638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2025
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address419 S Washington St Ste 101, Casper, WY 82601-2951

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)
Group practice Casper Medical Imaging Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Casper