Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Ann Thedieck's specialty?

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

Q: 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 26 days 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.

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: August 02, 2026.

On this page

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

Open in Google Maps ↗

Other Identifiers 1

Other313158WY · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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