DR. SKY WOLF
NPI 1174765093
Military Health Care Provider in Cheyenne, WY

Active since March 25, 2009PECOS EnrolledAccepts Medicare Assignment
6900 ALDEN DR BLDG 160, CHEYENNE, WY 82005(307) 773-2779 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, Jan 8, 2020, Nov 1, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Sky Wolf NPPES

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

DR. SKY WOLF (NPI 1174765093) is an individual military health care provider provider in Cheyenne, Wyoming and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174765093
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. SKY WOLF
Location Address6900 ALDEN DR BLDG 160Cheyenne, WY 82005-2945
Mailing Address6900 Alden Dr Bldg 160Cheyenne, WY 82005-2945 · (307) 773-2779
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 25, 2009
Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2020
NPI 1174765093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 12285A (WY)
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 20A11115 (CA)
6900 ALDEN DR BLDG 160, Cheyenne, WY 82005

Secondary Practice Locations 2

Location 19500 Gilman DrLA Jolla, CA 92093-0811 · Phone (858) 534-9540 · Fax (858) 534-9404
Location 2820 E 17th StCheyenne, WY 82001-4714 · Phone (307) 632-2434

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sky Wolf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193017101
PECOS Enrollment IDI20231117002332
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

Counselor (Addiction (Substance Use Disorder))
6900 ALDEN DR BLDG 160
CHEYENNE, WY 82005
Military Health Care Provider (Independent Duty Medical Technicians)
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Registered Nurse (Case Management)
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Registered Nurse (Case Management)
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Optometrist
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Physician Assistant
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005
Social Worker (Clinical)
6900 ALDEN DR BLDG 160
CHEYENNE, WY 82005
Pharmacist
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005

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 Sky Wolf's NPI number?

The NPI number for Sky Wolf is 1174765093. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Sky Wolf located?

Sky Wolf practices at 6900 Alden Dr Bldg 160, Cheyenne, WY 82005. The listed phone number is (307) 773-2779.

What is Sky Wolf's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Sky Wolf enrolled in Medicare?

Yes. Sky Wolf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sky Wolf was last updated on October 27, 2023. 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.