POWDER RIVER PAIN CLINIC
NPI 1164804480
Anesthesiology - Pain Medicine in Gillette, WY
About Powder River Pain Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POWDER RIVER PAIN CLINIC (NPI 1164804480) is a healthcare organization registered as a pain medicine in Gillette, Wyoming and active in the NPI registry since June 2015. The organization lists John L. Mansell, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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)
Powder River Pain Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Powder River Pain Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 A Wyoming Pain Clinic P C's NPI number?
The NPI number for A Wyoming Pain Clinic P C is 1164804480. It was assigned to this organization in the NPPES registry on June 23, 2015. The provider is doing business as Powder River Pain Clinic.
Where is A Wyoming Pain Clinic P C located?
A Wyoming Pain Clinic P C is located at 3100 W Lakeway Rd Suite 3, Gillette, WY 82718. The listed phone number is (307) 696-1475.
What is A Wyoming Pain Clinic P C's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is A Wyoming Pain Clinic P C enrolled in Medicare?
Yes. A Wyoming Pain Clinic P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Wyoming Pain Clinic P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to A Wyoming Pain Clinic P C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does A Wyoming Pain Clinic P C accept?
Health plans from Blue Cross Blue Shield of Wyoming list A Wyoming Pain Clinic 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 A Wyoming Pain Clinic P C was last updated on January 23, 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.
# Powder River Pain Clinic · NPI 1164804480
Pain Medicine organization in Gillette, Wyoming. Organization record, active in the CMS NPPES registry since June 23, 2015.
## Identity
- **NPI:** 1164804480 (Entity type: Organization)
- **Enumerated:** June 23, 2015
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Legal business name:** A Wyoming Pain Clinic P C
- **Organization subpart:** No
- **Authorized official:** John Mansell, PROVIDER
## Practice location
- **Address:** 3100 W LAKEWAY RD, SUITE 3, Gillette, WY 82718-6372
- **Phone:** (307) 696-1475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164804480) · Data from the CMS NPPES public registry.