GLENROCK HOSPITAL DISTRICT
NPI 1093758161
Clinic/Center - Rural Health in Glenrock, WY

Active since June 14, 2006CLIA 53D0520026 · Microscopy
925 W BIRCH ST, GLENROCK, WY 82637(307) 436-9206(307) 436-9730 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glenrock Hospital District NPPES

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

GLENROCK HOSPITAL DISTRICT (NPI 1093758161), doing business as Glenrock Health Center, is a healthcare organization registered as a rural health in Glenrock, Wyoming and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through September 28, 2027 and lists Ashley Marie Oviedo-lopez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093758161
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGLENROCK HOSPITAL DISTRICT
Location Address925 W BIRCH STGlenrock, WY 82637-0786
Mailing AddressPo Box 786Glenrock, WY 82637-0786 · (307) 436-9206 · Fax (307) 436-9730
Fax(307) 436-9730
Organization SubpartNo
Authorized OfficialAshley Marie Oviedo-lopezAdministrator · (307) 436-9206
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 29, 2025
✔ NPI 1093758161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
925 W BIRCH ST, Glenrock, WY 82637

Other Names 1

Doing Business AsGlenrock Health Center

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenrock Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Glenrock Hospital District, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1477044261
925 W. BIRCH ST
Glenrock, WY 82637
(307) 436-9206
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841797461
925 W BIRCH ST
Glenrock, WY 82637
(307) 436-9206
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467448043
6500 E 2ND ST SUITE 200
Casper, WY 82609
(307) 577-5100
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1093248114
3632 AMERICAN WAY
Casper, WY 82604
(307) 262-0211
✔ PECOS✔ Accepts Medicare25 mi

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

CLIA Laboratory Certificates CMS CLIA

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) 53D0520026

Glenrock Hospital District Dba Glenrock Health Center · Glenrock, WY
Active · expires Sep 28, 2027
CLIA Number53D0520026
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorDr. Joseph E. Mickelson
Laboratory Phone(307) 436-9206
Laboratory LocationGlenrock Hospital District Dba Glenrock Health Center925 West Birch Street, Glenrock, WY 82637
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.

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 Glenrock Hospital District's NPI number?

The NPI number for Glenrock Hospital District is 1093758161. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as glenrock health center.

Where is Glenrock Hospital District located?

Glenrock Hospital District is located at 925 W Birch St, Glenrock, WY 82637. The listed phone number is (307) 436-9206.

What is Glenrock Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Glenrock Hospital District enrolled in Medicare?

Yes. Glenrock Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glenrock Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Glenrock Hospital District, in Clinical Social Worker, Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Glenrock Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D0520026) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glenrock Hospital District accept?

Health plans from Blue Cross Blue Shield of Wyoming list Glenrock Hospital District 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 Glenrock Hospital District was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.