SOUTH LINCOLN HOSPITAL DISTRICT
NPI 1033221569
General Acute Care Hospital - Rural in Kemmerer, WY

Active since August 31, 2006CLIA 53D0056408 · Certificate of Compliance
711 ONYX ST, KEMMERER, WY 83101(307) 877-4401(307) 877-3236 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Lincoln Hospital District NPPES

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

SOUTH LINCOLN HOSPITAL DISTRICT (NPI 1033221569), doing business as South Lincoln Medical Center, is a healthcare organization registered as a rural in Kemmerer, Wyoming and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 4, 2027 and lists David Ryerse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033221569
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameSOUTH LINCOLN HOSPITAL DISTRICT
Location Address711 ONYX STKemmerer, WY 83101-3214
Mailing Address711 Onyx StKemmerer, WY 83101-3214 · (307) 877-4401 · Fax (307) 877-3236
Fax(307) 877-3236
Organization SubpartNo
Authorized OfficialDavid RyerseCeo · (307) 800-8650
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1033221569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in WY · 06-148
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
711 ONYX ST, Kemmerer, WY 83101

Other Names 1

Doing Business AsSouth Lincoln Medical Center

Other Identifiers 9

Medicaid105993902WY
Medicaid105993900WY
Other00918001WY · Blue Shield
Other320145WY · Black Lung
Medicaid105993909WY
Other185636600Federal Worker's Comp
Medicaid105993904WY
Other007401WY · Blue Cross
Other5442Union Pacific Railroad

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Lincoln Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to South Lincoln Hospital District, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 10

Certified Registered Nurse Anesthetist (CRNA)4
Family Practice4
Diagnostic Radiology2
Emergency Medicine2
Anesthesiology1
Micrographic Dermatologic Surgery (MDS)1
Nurse Practitioner1
Orthopedic Surgery1
2 other specialties2

Clinicians, nearest first (18)

Emergency Medicine
NPI 1740459338
711 ONYX ST
Kemmerer, WY 83101
(307) 877-4401
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700013661
711 ONYX ST
Kemmerer, WY 83101
(307) 877-4496
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770205577
711 ONYX ST
Kemmerer, WY 83101
(832) 270-9456
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1750482527
711 ONYX ST
Kemmerer, WY 83101
(307) 877-4496
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1386183242
96 YELLOW CREEK RD
Evanston, WY 82930
(307) 444-4466
43 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982610549
164 SOUTH 5TH
Montpelier, ID 83254
(208) 390-7757
✔ Accepts Medicare53 mi
Family Practice
NPI 1912102989
103 W 3RD ST.
Marbleton, WY 83113
(307) 276-3306
✔ PECOS✔ Accepts Medicare57 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1598086720
169 N GATEWAY DR STE 100
Providence, UT 84332
(541) 999-4475
✔ PECOS✔ Accepts Medicare67 mi
Emergency Medicine
NPI 1750446787
550 E 1400 N
Logan, UT 84341
(435) 716-5465
✔ PECOS✔ Accepts Medicare68 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952543209
5475 S 500 E
Ogden, UT 84405
(800) 880-3566
✔ Accepts Medicare85 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265578553
5475 S 500 E
Ogden, UT 84405
(800) 880-3566
✔ Accepts Medicare85 mi
Podiatry
NPI 1760499180
1449 E 3300 S
Salt Lake City, UT 84106
(801) 483-1015
✔ PECOS✔ Accepts Medicare102 mi
Diagnostic Radiology
NPI 1417061482
625 EAST BROADWAY ST JOHNS MEDICAL CENTER DEPT OF RADIOLOGY
Jackson, WY 83001
(800) 633-1905
✔ PECOS✔ Accepts Medicare117 mi
Diagnostic Radiology
NPI 1952317323
625 EAST BROADWAY ST JOHNS MEDICAL CENTER DEPT OF RADIOLOGY
Jackson, WY 83001
(800) 633-1905
✔ PECOS✔ Accepts Medicare117 mi
Orthopedic Surgery
NPI 1700802535
8185 HIGHWAY 789
Lander, WY 82520
(307) 206-9300
✔ PECOS✔ Accepts Medicare118 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295151025
645 OSAGE ST SIDNEY REGIONAL MEDICAL CENTER
Sidney, NE 69162
(308) 254-5825
395 mi
Anesthesiology
NPI 1184918781
3601 4TH ST # MS 8182
Lubbock, TX 79430
(806) 743-2981
✔ PECOS✔ Accepts Medicare737 mi
Family Practice
NPI 1992782031
150 DUNCAN RD
Buckeye, WV 24924
(304) 799-7400
✔ PECOS✔ Accepts Medicare1,625 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 53D0056408

South Lincoln Hospital District · Kemmerer, WY
Active · expires Feb 4, 2027
CLIA Number53D0056408
Laboratory TypeHospital
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDr. James Martinchik
Laboratory Phone(307) 800-8700
Laboratory LocationSouth Lincoln Hospital District711 Onyx Street, Kemmerer, WY 83101
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 South Lincoln Hospital District's NPI number?

The NPI number for South Lincoln Hospital District is 1033221569. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as South Lincoln Medical Center.

Where is South Lincoln Hospital District located?

South Lincoln Hospital District is located at 711 Onyx St, Kemmerer, WY 83101. The listed phone number is (307) 877-4401.

What is South Lincoln Hospital District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Is South Lincoln Hospital District enrolled in Medicare?

Yes. South Lincoln Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Lincoln Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 10 Medicare specialties reassign their Medicare billing to South Lincoln Hospital District. 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 Certified Registered Nurse Anesthetist (CRNA) (4), Family Practice (4) and Diagnostic Radiology (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Lincoln Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 53D0056408) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Lincoln Hospital District accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list South Lincoln Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Lincoln Hospital District was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.