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

Mrs. Kelly K. Simone, PA

Individual provider Medical Physician Assistant · NPI 1770529703

Mrs. Kelly K. Simone, PA is a Physician Assistant in Powell, Wyoming. Qualified in 2001, 25 years ago. Practices with West Park Hospital District, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
25
Licensed in
WY
In the registry since
2006
Specialties on file
2
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

777 Avenue H
Powell, WY 82435-2260
Phone: (307) 754-2267
Show map & directions

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

Additional practice locations (1)

  • 424 Yellowstone Ave Ste 120, Cody, WY 82414-9311 — (307) 578-2903

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA313 (WY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA313 (WY)

Record details

NPI number1770529703
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice West Park Hospital District — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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