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POWDER RIVER PAIN CLINIC
NPI 1164804480
Anesthesiology - Pain Medicine in Gillette, WY

Active since June 23, 2015
3100 W LAKEWAY RD, SUITE 3, GILLETTE, WY 82718(307) 696-1475 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1164804480
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameA WYOMING PAIN CLINIC P C
Location Address3100 W LAKEWAY RD, SUITE 3Gillette, WY 82718-6372
Mailing Address8101 Stone Crest DrGillette, WY 82718-4006 · (307) 696-1475
Phone(307) 696-1475
Organization SubpartNo
Authorized OfficialJohn L. MansellProvider · (307) 696-2996
Enumeration DateJune 23, 2015
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1164804480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in WY · 7144A
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 7144A (WY)
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License 7144A (WY)
3100 W LAKEWAY RD, Gillette, WY 82718
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Other Names 1

Doing Business AsPowder River Pain Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 3

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

SASHA PAIGE RAU
Nurse Anesthetist, Certified Registered
3100 W LAKEWAY RD, STE 3
GILLETTE, WY 82718
Campbell County (605) 393-5224
POWDER RIVER PHYSICAL MEDICINE & REHABILITATION, LLC
Physical Medicine & Rehabilitation
3100 W LAKEWAY RD, SUITE 3
GILLETTE, WY 82718
Campbell County (307) 206-4990
DR. JOHN L. MANSELL M.D.
Anesthesiology (Pain Medicine)
3100 W LAKEWAY RD, SUITE 3
GILLETTE, WY 82718
Campbell County (307) 696-2996

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.

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.