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BANNER HEALTH PHYSICIANS WEST LLC
NPI 1063778728
Clinic/Center - Multi-Specialty in Casper, WY

Active since April 06, 2012CLIA Certified · 5 labs
1020 E 2ND ST STE 201, CASPER, WY 82601(307) 233-0250 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2026, Aug 4, 2022, Dec 30, 2021 (3 updates tracked since 2021).

About Banner Health Physicians West Llc NPPES

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

BANNER HEALTH PHYSICIANS WEST LLC (NPI 1063778728) is a healthcare organization registered as a multi-specialty in Casper, Wyoming and active in the NPI registry since April 2012. The organization holds 5 active CLIA laboratory certificates, maintains 29 additional practice locations, and lists Shiva Birdi, Ceo Bmg, as its authorized official.

NPPES Registry Identity

NPI1063778728
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS WEST LLC
Location Address1020 E 2ND ST STE 201Casper, WY 82601-2955
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(307) 233-0250
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo Bmg · (602) 747-4000
Enumeration DateApril 6, 2012
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1063778728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1020 E 2ND ST STE 201, Casper, WY 82601
Open in Google Maps ↗

Secondary Practice Locations 29

Location 1419 S Washington St Ste 201BCasper, WY 82601-2951 · Phone (307) 577-0477
Location 2419 S Washington St Ste 201CCasper, WY 82601-2951 · Phone (307) 577-2592
Location 3419 S Washington St Ste 201DCasper, WY 82601-2951 · Phone (307) 233-0286
Location 44305 S Poplar StCasper, WY 82601-6106 · Phone (800) 304-7152
Location 560 Magnolia StCasper, WY 82604-4035 · Phone (307) 234-9381
Location 66550 E 2nd StCasper, WY 82609-4321 · Phone (307) 995-8100
Location 76600 E 2nd St Ste CCasper, WY 82609-4348 · Phone (307) 473-6768
Location 86600 E 2nd St Ste DCasper, WY 82609-4348 · Phone (307) 473-6768
Location 9777 Avenue HPowell, WY 82435-2260 · Phone (307) 347-5810
Location 108195 State Highway 789Lander, WY 82520-2942 · Phone (307) 237-5047
Location 111020 S Conwell StCasper, WY 82601-3921 · Phone (307) 265-8300
Location 12110 N 2nd StDouglas, WY 82633-2127 · Phone (307) 237-5047
Location 131106 Big Horn AveWorland, WY 82401-2803 · Phone (307) 347-8801
Location 141115 Lane 12Lovell, WY 82431-9537 · Phone (307) 347-2555
Location 151141 Wilkins CirCasper, WY 82601-1332 · Phone (307) 472-3700
Location 163632 American Way Ste ACasper, WY 82604-3164 · Phone (307) 234-6765
Location 173632 American Way Ste BCasper, WY 82604-3164 · Phone (307) 233-7300
Location 183955 E 12th StCasper, WY 82609-3114 · Phone (307) 577-3045
Location 19201 14th StWheatland, WY 82201-3201 · Phone (307) 322-3636
Location 202300 Gasser RdRiverton, WY 82501-2204 · Phone (307) 266-4000
Location 21255 N 30th StLaramie, WY 82072-5140 · Phone (307) 237-5047
Location 221230 E 1st StCasper, WY 82601-2704 · Phone (307) 233-0250
Location 231405 Howell AveWorland, WY 82401-4127 · Phone (307) 347-2555
Location 241950 S Beverly StCasper, WY 82609-3348 · Phone (307) 224-9843
Location 25400 S 15th St Ste 101Worland, WY 82401-3531 · Phone (307) 347-3221
Location 262000 Campbell DrTorrington, WY 82240-1528 · Phone (307) 532-4181
Location 274041 S Poplar StCasper, WY 82601-5928 · Phone (307) 266-0000
Location 28419 S Washington St Ste 102Casper, WY 82601-2951 · Phone (307) 577-2592
Location 29419 S Washington St Ste 201ACasper, WY 82601-2951 · Phone (307) 237-5047

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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 for Provider-Performed Microscopy Procedures (PPMP) 53D2039661

Banner Health Physicians West LLC · Casper, WY
Active · expires Mar 25, 2028
CLIA Number53D2039661
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorTatiana Rupp
Laboratory Phone(307) 473-6768
Laboratory LocationBanner Health Physicians West LLC6600 E 2nd Street, Casper, WY 82609
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 53D0925425

Banner Health Physicians West LLC · Casper, WY
Active · expires Sep 27, 2027
CLIA Number53D0925425
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorJames M. Davidson
Laboratory Phone(307) 265-8300
Laboratory LocationBanner Health Physicians West LLC1020 S Conwell, Casper, WY 82601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 53D2099145

Banner Health Physicians West LLC · Casper, WY
Active · expires Sep 27, 2027
CLIA Number53D2099145
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorAngela L. Booth
Laboratory Phone(307) 233-7300
Laboratory LocationBanner Health Physicians West LLC3632 American Way, Casper, WY 82604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 53D1026465

Banner Health Physicians West LLC · Worland, WY
Active · expires Sep 15, 2026
CLIA Number53D1026465
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorDiane L. Noton
Laboratory Phone(307) 347-2555
Laboratory LocationBanner Health Physicians West LLC1405 Howell Ave, Worland, WY 82401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 53D2198018

Banner Health Physicians West LLC · Worland, WY
Active · expires Oct 28, 2026
CLIA Number53D2198018
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorSameh G. Abuerreish
Laboratory Phone(307) 347-6937
Laboratory LocationBanner Health Physicians West LLC400 S 15th St, Ste 101, Worland, WY 82401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WYOMING HEALTH MEDICAL GROUP, LLC
Clinic/Center (Multi-Specialty)
1020 E 2ND ST STE 201
CASPER, WY 82601
Natrona County (307) 233-0250
KYLIE ALLISON MCCRACKEN PA-C
Physician Assistant
1020 E 2ND ST STE 201
CASPER, WY 82601
Natrona County (307) 233-0250
MRS. KRISTEN JUSTICE PICHLER PA-C
Physician Assistant
1020 E 2ND ST STE 201
CASPER, WY 82601
Natrona County (307) 233-0250

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 Banner Health Physicians West LLC's NPI number?

The NPI number for Banner Health Physicians West LLC is 1063778728. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Banner Health Physicians West LLC located?

Banner Health Physicians West LLC is located at 1020 E 2nd St Ste 201, Casper, WY 82601. The listed phone number is (307) 233-0250.

What is Banner Health Physicians West LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Banner Health Physicians West LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Health Physicians West LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Wyoming and 1 other insurer list Banner Health Physicians West LLC 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 Banner Health Physicians West LLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.