PLATTE COUNTY MEMORIAL NURSING HOME
NPI 1003951518
Skilled Nursing Facility in Wheatland, WY

Q: What is Platte County Memorial Nursing Home's NPI number?

The NPI number for Platte County Memorial Nursing Home is 1003951518. It was assigned to this organization in the NPPES registry on February 21, 2007.

Q: What is Platte County Memorial Nursing Home's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Active since February 21, 2007

201 14TH ST, WHEATLAND, WY 82201(307) 322-3636 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Platte County Memorial Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLATTE COUNTY MEMORIAL NURSING HOME (NPI 1003951518) is a healthcare organization registered as a skilled nursing facility in Wheatland, Wyoming and active in the NPI registry since February 2007. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003951518

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NamePLATTE COUNTY MEMORIAL NURSING HOME

Location Address201 14TH STWheatland, WY 82201-3201

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702

Phone(307) 322-3636

Organization SubpartYesParent: Banner Health

Authorized OfficialDennis LarawayCfo · (602) 747-4000

Enumeration DateFebruary 21, 2007

Last NPPES UpdateDecember 30, 2021

NPPES CertifiedDecember 30, 2021

✔ NPI 1003951518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in WY · 07-070

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

201 14TH ST, Wheatland, WY 82201

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Other Identifiers 1

Medicaid106545901WY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Platte County Memorial Nursing Home is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 28 clinicians reassign Medicare billing to Platte County Memorial Nursing Home, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine14

Family Practice7

Certified Registered Nurse Anesthetist (CRNA)6

Internal Medicine1

Nearest to this location (20)

See all 28

Ty Battershell, M.D.

Emergency Medicine

NPI 1518987379

201 14TH ST EMERGENCY DEPARTMENT
Wheatland, WY 82201

(307) 322-3636

✔ PECOSSame address

Steve Peasley, MD

Family Practice

NPI 1861494460

1551 BRICE ST
Wheatland, WY 82201

(307) 322-3861

✔ PECOS✔ Accepts Medicare0.2 mi

Millard Berry, M.D.

Family Practice

NPI 1790891919

625 ALBANY AVE
Torrington, WY 82240

(307) 532-2107

✔ PECOS✔ Accepts Medicare40 mi

Tracy Richard

Certified Registered Nurse Anesthetist (CRNA)

NPI 1154697167

601 NIOBRARA AVE
Torrington, WY 82240

(307) 532-3035

✔ Accepts Medicare40 mi

Troy Votruba, CRNA, APRN, MS

Certified Registered Nurse Anesthetist (CRNA)

NPI 1477576874

111 S 5TH ST
Douglas, WY 82633

(307) 358-2122

✔ Accepts Medicare53 mi

Gregory Christian, MD

Family Practice

NPI 1942730080

820 E 17TH ST
Cheyenne, WY 82001

(307) 632-2434

✔ PECOS63 mi

James Eggert, MD

Family Practice

NPI 1942869177

820 E 17TH ST
Cheyenne, WY 82001

(307) 777-7911

✔ PECOS✔ Accepts Medicare63 mi

Jensen Stock, MD

Family Practice

NPI 1851918767

820 E 17TH ST
Cheyenne, WY 82001

(307) 632-2434

✔ PECOS✔ Accepts Medicare63 mi

Jessica Wiedman, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1417244898

329 W 40TH ST
Scottsbluff, NE 69361

(308) 635-3911

✔ Accepts Medicare67 mi

Marvin Couch, M.D.

Family Practice

NPI 1023031861

542 16TH ST
Rawlins, WY 82301

(307) 324-2750

✔ PECOS✔ Accepts Medicare120 mi

Kr Spotts, D.O.

Emergency Medicine

NPI 1083664486

395 MAJESTIC VIEW DRIVE
Boulder, CO 80303

(303) 499-1512

✔ PECOS✔ Accepts Medicare143 mi

Lee Johnson, MD

Emergency Medicine

NPI 1356978860

777 BANNOCK ST # MC0108
Denver, CO 80204

(303) 602-5176

✔ PECOS✔ Accepts Medicare160 mi

Russell Miller, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1538408091

425 S CHERRY ST STE 300
Denver, CO 80246

(888) 209-0305

✔ PECOS✔ Accepts Medicare162 mi

Krista Birkelo, DO

Emergency Medicine

NPI 1649435165

1440 N MAIN ST
Spearfish, SD 57783

(605) 644-4004

✔ PECOS✔ Accepts Medicare178 mi

Tyler Dickey, M.D.

Emergency Medicine

NPI 1295098416

1401 W 5TH ST
Sheridan, WY 82801

(307) 672-1000

✔ PECOS✔ Accepts Medicare216 mi

Ronald Burinsky, D.O.

Family Practice

NPI 1497775100

35 STATE HIGHWAY 30
Basin, WY 82410

(484) 794-1013

✔ PECOS✔ Accepts Medicare225 mi

Robert Grow, M.D.

Emergency Medicine

NPI 1013926393

5475 ADAMS AVE PKWY
Ogden, UT 84405

(801) 479-2376

✔ PECOS✔ Accepts Medicare368 mi

Robert Cline, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1346401833

3209S 23RD ST 340
Tacoma, WA 98405

(253) 503-2598

✔ PECOS✔ Accepts Medicare932 mi

Craig Swank, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1043597453

3209 S 23RD ST SUITE 340
Tacoma, WA 98405

(253) 503-2598

✔ Accepts Medicare932 mi

Mary Ebueku-Smith, MD

Internal Medicine

NPI 1639514805

2001 W 86TH ST
Indianapolis, IN 46260

(317) 338-6815

✔ PECOS✔ Accepts Medicare990 mi

See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Platte County Memorial Nursing Home's NPI number?

The NPI number for Platte County Memorial Nursing Home is 1003951518. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Platte County Memorial Nursing Home located?

Platte County Memorial Nursing Home is located at 201 14th St, Wheatland, WY 82201. The listed phone number is (307) 322-3636.

What is Platte County Memorial Nursing Home's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Platte County Memorial Nursing Home enrolled in Medicare?

Yes. Platte County Memorial Nursing Home is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Platte County Memorial Nursing Home?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Platte County Memorial Nursing Home. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (14), Family Practice (7) and Certified Registered Nurse Anesthetist (CRNA) (6). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Platte County Memorial Nursing Home was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.