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

Mr. Cal Richard Smith, PA-C

Individual provider Physician Assistant · NPI 1275838864

Mr. Cal Richard Smith, PA-C is a Physician Assistant in Fe Warren AFB, Wyoming. Graduated from University of Nebraska College of Medicine in 2010, 16 years ago. Practices with Impact Physician Group LLC, a 28-clinician group and accepts Medicare assignment.

Years since qualifying
16
Trained at
University of Nebraska College of Medicine
In the registry since
2011
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

6900 Alden Dr
Fe Warren AFB, WY 82005-2945
Phone: (307) 773-3461
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275838864
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2011
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Impact Physician Group Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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