IVINSON MEMORIAL HOSPITAL
NPI 1033628599
Clinic/Center - Rural Health in Laramie, WY

Active since September 27, 2017CLIA 53D0931099 · Accreditation
3116 WILLETT DR, LARAMIE, WY 82072(307) 742-6319(307) 742-6346 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 26, 2025, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Ivinson Memorial Hospital NPPES

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

IVINSON MEMORIAL HOSPITAL (NPI 1033628599) is a healthcare organization registered as a rural health in Laramie, Wyoming and active in the NPI registry since September 2017. The organization holds an CLIA Accreditation certificate valid through November 17, 2027, maintains a secondary practice location in Laramie, and lists James Bands, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033628599
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIVINSON MEMORIAL HOSPITAL
Location Address3116 WILLETT DRLaramie, WY 82072-5048
Mailing Address255 N 30th StLaramie, WY 82072-5140 · (307) 742-2142 · Fax (307) 742-2150
Fax(307) 742-6346
Organization SubpartYes
Authorized OfficialJames BandsCfo · (307) 755-4603
Enumeration DateSeptember 27, 2017
Last NPPES UpdateDecember 26, 20253 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
✔ NPI 1033628599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
3116 WILLETT DR, Laramie, WY 82072

Secondary Practice Location 1

Location 1255 N 30th StLaramie, WY 82072-5140 · Phone (307) 742-2142 · Fax (307) 742-2150

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)

Ivinson Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

146

Medicare enrollment records show 146 clinicians reassign Medicare billing to Ivinson Memorial Hospital, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner37
General Surgery13
Emergency Medicine12
Internal Medicine12
Obstetrics/Gynecology12
Pediatric Medicine11
Certified Registered Nurse Anesthetist (CRNA)10
Family Practice7
13 other specialties32

Nearest to this location (20)

See all 146
Nurse Practitioner
NPI 1609565845
3116 WILLETT DR
Laramie, WY 82072
(307) 755-4540
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285356857
3116 WILLETT DR
Laramie, WY 82072
(307) 755-4540
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1659803963
3116 WILLETT DR
Laramie, WY 82072
(307) 755-4540
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295348167
3114 WILLETT DR
Laramie, WY 82072
(307) 755-4540
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1023110640
255 N 30TH ST
Laramie, WY 82072
(307) 742-2141
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1013019793
3116 WILLETT DRIVE
Laramie, WY 82072
(307) 745-8999
✔ PECOS0.1 mi
Geriatric Medicine
NPI 1922441328
3116 WILLETT DR
Laramie, WY 82072
(307) 755-4540
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1497857858
3116 WILLETT DRIVE
Laramie, WY 82072
(307) 745-8800
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1194812578
3116 WILLETT DR
Laramie, WY 82072
(307) 742-3380
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477049039
255 N 30TH ST
Laramie, WY 82072
(307) 742-2141
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1376042960
255 N 30TH ST
Laramie, WY 82072
(307) 742-2141
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1225355985
255 N 30TH ST
Laramie, WY 82072
(307) 755-4540
✔ PECOS0.1 mi
Certified Nurse Midwife (CNM)
NPI 1467920512
255 N 30TH ST
Laramie, WY 82072
(303) 518-5881
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1538251046
255 N 30TH ST
Laramie, WY 82072
(307) 742-2142
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1740787522
255 N 30TH ST
Laramie, WY 82072
(307) 755-4540
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1700400678
255 N 30TH ST
Laramie, WY 82072
(307) 742-2141
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1093828949
255 N 30TH ST
Laramie, WY 82072
(307) 755-4406
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1730202623
2710 HARNEY ST STE 100
Laramie, WY 82072
(307) 742-9116
✔ PECOS0.5 mi
General Surgery
NPI 1477577542
2710 HARNEY STREET, SUITE 204 SNOWY RANGE SURGICAL SPECIALTIES
Laramie, WY 82072
(307) 460-2055
✔ PECOS✔ Accepts Medicare0.5 mi
Urology
NPI 1639262595
2720 HARNEY ST SUITE 200
Laramie, WY 82072
(307) 745-6065
✔ PECOS✔ Accepts Medicare0.6 mi
See all 146 clinicians

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 Accreditation 53D0931099

Ivinson Memorial Hospital · Laramie, WY
Active · expires Nov 17, 2027
CLIA Number53D0931099
Laboratory TypeHospital
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorMichael Smith
Laboratory Phone(307) 755-4440
Laboratory LocationIvinson Memorial Hospital255 North 30 Th Street, Laramie, WY 82072
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ivinson Memorial Hospital's NPI number?

The NPI number for Ivinson Memorial Hospital is 1033628599. It was assigned to this organization in the NPPES registry on September 27, 2017.

Where is Ivinson Memorial Hospital located?

Ivinson Memorial Hospital is located at 3116 Willett Dr, Laramie, WY 82072. The listed phone number is (307) 742-6319.

What is Ivinson Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Ivinson Memorial Hospital enrolled in Medicare?

Yes. Ivinson Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivinson Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 146 clinicians in 21 Medicare specialties reassign their Medicare billing to Ivinson Memorial Hospital. 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 Nurse Practitioner (37), General Surgery (13) and Emergency Medicine (12). Of these, 5 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ivinson Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 53D0931099) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ivinson Memorial Hospital accept?

Health plans from Blue Cross Blue Shield of Wyoming list Ivinson Memorial Hospital 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 Ivinson Memorial Hospital was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.