CAMPBELL COUNTY MEDICAL GROUP - GERIATRIC CLINIC
NPI 1164934121
Internal Medicine - Geriatric Medicine in Gillette, WY
About Campbell County Medical Group - Geriatric Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMPBELL COUNTY MEDICAL GROUP - GERIATRIC CLINIC (NPI 1164934121) is a healthcare organization registered as a geriatric medicine in Gillette, Wyoming and active in the NPI registry since October 2017. The organization lists Douglas Adam Popp, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 2
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)
Campbell County Medical Group - Geriatric Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
285Medicare enrollment records show 285 clinicians reassign Medicare billing to Campbell County Medical Group - Geriatric Clinic, which bills Medicare for the services they deliver. Of these, 49 practice at this address and 78 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 285Source: 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 Campbell County Hospital District's NPI number?
The NPI number for Campbell County Hospital District is 1164934121. It was assigned to this organization in the NPPES registry on October 31, 2017. The provider is doing business as Campbell County Medical Group - Geriatric Clinic.
Where is Campbell County Hospital District located?
Campbell County Hospital District is located at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-3636.
What is Campbell County Hospital District's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Campbell County Hospital District enrolled in Medicare?
Yes. Campbell County Hospital District is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Campbell County Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 285 clinicians in 30 Medicare specialties reassign their Medicare billing to Campbell County Hospital District. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (63), Emergency Medicine (54) and Nurse Practitioner (27). Of these, 49 practice at this address and 78 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Campbell County Hospital District accept?
Health plans from Blue Cross Blue Shield of Wyoming list Campbell County 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 Campbell County Hospital District was last updated on April 3, 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.
# Campbell County Medical Group - Geriatric Clinic · NPI 1164934121
Geriatric Medicine organization in Gillette, Wyoming. Organization record, active in the CMS NPPES registry since October 31, 2017.
## Identity
- **NPI:** 1164934121 (Entity type: Organization)
- **Enumerated:** October 31, 2017
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Legal business name:** Campbell County Hospital District
- **Organization subpart:** No
- **Authorized official:** Douglas Popp, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 501 S BURMA AVE, Gillette, WY 82716-3426
- **Phone:** (307) 688-3636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 285 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (63), Emergency Medicine (54), Nurse Practitioner (27); 49 practice at this address and 78 within 10 miles; [full list](https://npiprofile.com/npi/1164934121/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164934121) · Data from the CMS NPPES public registry.