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ERIN ELAINE FORTNER D.O.
NPI 1093566259
Student in an Organized Health Care Education/Training Program in Cheyenne, WY

Active since March 27, 2024PECOS Enrolled
820 E 17TH ST, CHEYENNE, WY 82001(307) 632-2434 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Jun 25, 2025, Jun 5, 2025 (3 updates tracked since 2025).

About Erin Elaine Fortner D.o. NPPES

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

ERIN ELAINE FORTNER D.O. (NPI 1093566259) is an individual student in an organized health care education/training program in Cheyenne, Wyoming and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093566259
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameERIN ELAINE FORTNERCredential: D.O.
Location Address820 E 17TH STCheyenne, WY 82001-4714
Mailing Address820 E 17th StCheyenne, WY 82001-4714 · (307) 632-2434
Phone(307) 632-2434
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateJune 12, 20263 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1093566259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
820 E 17TH ST, Cheyenne, WY 82001
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Elaine Fortner D.o. 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.

Other Providers at the Same Location NPPES 20

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

DR. CHRISTIAN ALEXANDER FLANDERS M.D.
Family Medicine
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 632-2434
UNIVERSITY OF WYOMING
Family Medicine
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 777-7911
ZACHARY DALE HERMAN
Family Medicine
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 632-2434
DR. LINDSEY YELTON
Student in an Organized Health Care Education/Training Program
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 634-2434
KAVITHA SRINIVASAN MD
Family Medicine
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 632-2434
KRISTEN LEIGH BREHM MD
Family Medicine
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 632-2434
SAMANTHA ERIN TOWNSEND MD
Family Medicine
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 777-7911
DR. ANH PHAN NGUYEN MD
Family Medicine
820 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 632-2434

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 Erin Fortner's NPI number?

The NPI number for Erin Fortner is 1093566259. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Erin Fortner located?

Erin Fortner practices at 820 E 17th St, Cheyenne, WY 82001. The listed phone number is (307) 632-2434.

What is Erin Fortner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Erin Fortner enrolled in Medicare?

Yes. Erin Fortner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erin Fortner was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.