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PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC
NPI 1093421869
Family Medicine in Cheyenne, WY

Active since January 25, 2023
1331 PRAIRIE AVE STE 2, CHEYENNE, WY 82009(888) 829-8550 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Jan 25, 2023 (2 updates tracked since 2023).

About Physician Management Services Of Wyoming, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC (NPI 1093421869) is a healthcare organization registered as a family medicine in Cheyenne, Wyoming and active in the NPI registry since January 2023. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1093421869
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF WYOMING, LLC
Location Address1331 PRAIRIE AVE STE 2Cheyenne, WY 82009-4867
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Phone(888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateJanuary 25, 2023
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1093421869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1331 PRAIRIE AVE STE 2, Cheyenne, WY 82009
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

KANTI DEVKOTA FNP
Nurse Practitioner
1331 PRAIRIE AVE STE 2
CHEYENNE, WY 82009
Laramie County (307) 778-3121
STACEY EARNEST FNP-C
Nurse Practitioner (Family)
1331 PRAIRIE AVE STE 2
CHEYENNE, WY 82009
Laramie County (307) 778-3121

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 Physician Management Services Of Wyoming, LLC's NPI number?

The NPI number for Physician Management Services Of Wyoming, LLC is 1093421869. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Physician Management Services Of Wyoming, LLC located?

Physician Management Services Of Wyoming, LLC is located at 1331 Prairie Ave Ste 2, Cheyenne, WY 82009. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Wyoming, LLC's specialty?

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

What insurance does Physician Management Services Of Wyoming, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Physician Management Services Of Wyoming, 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 Physician Management Services Of Wyoming, LLC was last updated on September 4, 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.