NORTHEAST WYOMING PEDIATRIC ASSOCIATES, P.C.
NPI 1114998259
Pediatrics in Sheridan, WY
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
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Northeast Wyoming Pediatric Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Northeast Wyoming Pediatric Associates, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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) 53D0673733
Northeast Wyoming Pediatric Assocs PC · Sheridan, WYFrequently 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.
Is Northeast Wyoming Pediatric Associates, P.C. enrolled in Medicare?
Yes. Northeast Wyoming Pediatric Associates, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Wyoming Pediatric Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northeast Wyoming Pediatric Associates, P.C., in Nurse Practitioner and Pediatric Medicine. 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 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 2 years 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.
# Northeast Wyoming Pediatric Associates, P.c. · NPI 1114998259
Pediatrics organization in Sheridan, Wyoming. Organization record, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1114998259 (Entity type: Organization)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Suzanne Oss, PRESIDENT
## Practice location
- **Address:** 916 JACKSON AVE, Sheridan, WY 82801-2708
- **Phone:** (307) 675-5555 · **Fax:** (307) 675-5599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pediatric Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2024
- **Other identifiers:** Medicaid 000405665 (MT); Medicaid 100048900 (WY); Other 00941001 (WY); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114998259) · Data from the CMS NPPES public registry.