MEDICARE: KATIE MISCHKE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PT1355	WY

General Provider Information

NPI Number	:	1457828238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE MISCHKE PA

Provider Business Mailing Address
First Line	:	1333 W 5TH ST STE 110
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-2752
Country	:	US
Telephone Number	:	307-675-2633
Fax Number	:	307-675-2634

Provider Business Practice Location Address
First Line	:	1333 W 5TH ST STE 113
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-2752
Country	:	US
Telephone Number	:	307-675-2633
Fax Number	:	307-675-2634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2018
Last Update Date	:	12/10/2025

Similar Medicare Providers

1639177769 — MICHAEL J STRAHAN MD
Practice Location Address:

1333 W 5TH ST , SUITE 103
SHERIDAN, WY
82801-2752

Practice Phone: 307-672-8921
Practice Fax: 307-672-3944

1568443398 — MS. CHERYL LYNN VARNER MD
Practice Location Address:

1333 W 5TH ST, STE 206
SHERIDAN, WY
82801-2752

Practice Phone: 307-675-4646
Practice Fax: 307-675-4645

1649252297 — MRS. BRIDGETTE M BAKER RNC, CNM, WHNP-C
Practice Location Address:

1333 W 5TH ST STE 210
SHERIDAN, WY
82801-2752

Practice Phone: 307-672-2522
Practice Fax: 307-672-3732

1780667808 — DR. LAWRENCE G GILL III M.D.
Practice Location Address:

1333 W 5TH ST, STE 210
SHERIDAN, WY
82801-2752

Practice Phone: 307-672-2522
Practice Fax: 307-672-3732

1639142508 — DAVID C WALKER DO
Practice Location Address:

1333 W 5TH ST, STE 112
SHERIDAN, WY
82801-2752

Practice Phone: 307-675-2650
Practice Fax: 307-675-2651

1588614895 — TRACY LYNN JONS PA-C
Practice Location Address:

1333 W 5TH ST
SHERIDAN, WY
82801-2752

Practice Phone: 307-672-2522
Practice Fax: 307-672-3732

Directions to “ KATIE MISCHKE PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.