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DR. ANN H THEDIECK MD
NPI 1073569745
Family Medicine in Green River, WY

Active since May 25, 2006PECOS Enrolled
1400 UINTA DR, GREEN RIVER, WY 82935(307) 872-4500(307) 872-4595 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ann H Thedieck Md NPPES

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

DR. ANN H THEDIECK MD (NPI 1073569745) is an individual family medicine provider in Green River, Wyoming, licensed in Wyoming (6716A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073569745
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANN H THEDIECKCredential: MD
Location Address1400 UINTA DRGreen River, WY 82935-5046
Mailing AddressPo Box 219Green River, WY 82935-0219 · (307) 872-4500 · Fax (307) 872-4595
Phone(307) 872-4500
Fax(307) 872-4595
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1073569745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WY · 6716A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 UINTA DR, Green River, WY 82935
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Other Identifiers 1

Other313158WY · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ann H Thedieck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ann Thedieck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pine Ridge Indian Health Service Hospital
371 mi
General Acute Care Hospital
EAST HIGHWAY 18
Pine Ridge, SD 57770
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
NPI 1497786412 (605) 837-3314
Quentin N Burdick Comprehensive Health Care Facility
693 mi
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
NPI 1952346934 (701) 477-6111

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

DR. LYNN PERRINS ESKELSON M.D.
Family Medicine
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500
CASTLE ROCK SPECIAL HOSPITAL DISTRICT
Preventive Medicine (Public Health & General Preventive Medicine)
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500
GERRY C SMITH OTR
Occupational Therapist
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500
CASTLE ROCK SPECIAL HOSPITAL DISTRICT
Clinical Medical Laboratory
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500
DR. JOHN STEPHEN SLOAN M.D.
Family Medicine
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500
CASTLE ROCK SPECIAL HOSPITAL DISTRICT
Ambulance (Land Transport)
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500
CHRISTA J VANDERVORT SP
Speech-Language Pathologist
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500
MR. JOEL ROBERTSON PA
Physician Assistant
1400 UINTA DR
GREEN RIVER, WY 82935
Sweetwater County (307) 872-4500

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 Ann Thedieck's NPI number?

The NPI number for Ann Thedieck is 1073569745. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Ann Thedieck located?

Ann Thedieck practices at 1400 Uinta Dr, Green River, WY 82935. The listed phone number is (307) 872-4500.

What is Ann Thedieck's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ann Thedieck enrolled in Medicare?

Yes. Ann Thedieck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ann Thedieck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Thedieck reassigns Medicare benefits to 2 organizations: Pine Ridge Indian Health Service Hospital (Pine Ridge, SD) and Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND). Each 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 Ann Thedieck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ann Thedieck accept?

Health plans from Blue Cross Blue Shield of Wyoming list Ann Thedieck 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 Ann Thedieck was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.