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

Montanna Lee Merrick, PA-C

Individual provider Physician Assistant · NPI 1205697315

Montanna Lee Merrick, PA-C is a Physician Assistant in Cheyenne, Wyoming. Graduated from Creighton University School of Medicine in 2023, 3 years ago. Practices with Mountain West Surgical Specialists LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
3
Trained at
Creighton University School of Medicine
Licensed in
WY
In the registry since
2024
Specialties on file
2
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

4003 Rawlins St
Cheyenne, WY 82001-1800
Phone: (307) 632-1114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA1221 (WY)
Physician Assistant Taxonomy 363A00000X · Licence PA1221 (WY)

Record details

NPI number1205697315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Mountain West Surgical Specialists Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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