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NORTHEAST WYOMING PEDIATRIC ASSOCIATES, P.C.
NPI 1114998259
Pediatrics in Sheridan, WY

Active since January 27, 2006CLIA 53D0673733 · Microscopy
916 JACKSON AVE, SHERIDAN, WY 82801(307) 675-5555(307) 675-5599 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Wyoming Pediatric Associates, P.c. NPPES

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

NORTHEAST WYOMING PEDIATRIC ASSOCIATES, P.C. (NPI 1114998259) is a healthcare organization registered as a pediatrics in Sheridan, Wyoming and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through April 27, 2027 and lists Suzanne Oss, President, as its authorized official.

NPPES Registry Identity

NPI1114998259
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHEAST WYOMING PEDIATRIC ASSOCIATES, P.C.
Location Address916 JACKSON AVESheridan, WY 82801-2708
Mailing Address916 Jackson AveSheridan, WY 82801-2708 · (307) 675-5555 · Fax (307) 675-5599
Phone(307) 675-5555
Fax(307) 675-5599
Organization SubpartNo
Authorized OfficialSuzanne OssPresident · (307) 675-5555
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1114998259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
916 JACKSON AVE, Sheridan, WY 82801
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Other Identifiers 4

Medicaid000405665MT
Medicaid100048900WY
Other00941001WY · Bc Bs Wy
Medicaid7705130SD

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 ›

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) 53D0673733

Northeast Wyoming Pediatric Assocs PC · Sheridan, WY
Active · expires Apr 27, 2027
CLIA Number53D0673733
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorSuzanne Oss
Laboratory Phone(307) 672-6451
Laboratory LocationNortheast Wyoming Pediatric Assocs PC916 Jackson, Sheridan, WY 82801
CLIA data matches this NPI record on: Address
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.

Other Providers at the Same Location NPPES 5

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

DR. MICHAEL QUINTIN SANDERSON M.D.
Pediatrics
916 JACKSON AVE
SHERIDAN, WY 82801
Sheridan County (307) 675-5555
SUZANNE E K OSS MD
Pediatrics
916 JACKSON AVE
SHERIDAN, WY 82801
Sheridan County (307) 675-5555
MRS. DEBORAH LYNN MULLINAX PA-C
Physician Assistant (Medical)
916 JACKSON AVE
SHERIDAN, WY 82801
Sheridan County (307) 672-6451
DR. BARRY MICHAEL WOHL M.D.
Pediatrics
916 JACKSON AVE
SHERIDAN, WY 82801
Sheridan County (307) 675-5555
MRS. MARILYN KAY HORSLEY P.A.-C
Physician Assistant
916 JACKSON AVE
SHERIDAN, WY 82801
Sheridan County (307) 672-6451

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 Northeast Wyoming Pediatric Associates, P.C.'s NPI number?

The NPI number for Northeast Wyoming Pediatric Associates, P.C. is 1114998259. It was assigned to this organization in the NPPES registry on January 27, 2006.

Where is Northeast Wyoming Pediatric Associates, P.C. located?

Northeast Wyoming Pediatric Associates, P.C. is located at 916 Jackson Ave, Sheridan, WY 82801. The listed phone number is (307) 675-5555.

What is Northeast Wyoming Pediatric Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Northeast Wyoming Pediatric Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D0673733) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Wyoming Pediatric Associates, P.C. accept?

Health plans from Blue Cross Blue Shield of Wyoming list Northeast Wyoming Pediatric Associates, P.C. 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 Northeast Wyoming Pediatric Associates, P.C. was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.