GRAND AVENUE URGENT CARE, LLC
NPI 1174983118
Clinic/Center - Urgent Care in Laramie, WY
About Grand Avenue Urgent Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND AVENUE URGENT CARE, LLC (NPI 1174983118) is a healthcare organization registered as an urgent care in Laramie, Wyoming and active in the NPI registry since March 2016. The organization lists John Jacobs, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Grand Avenue Urgent Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Grand Avenue Urgent Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Grand Avenue Urgent Care, LLC's NPI number?
The NPI number for Grand Avenue Urgent Care, LLC is 1174983118. It was assigned to this organization in the NPPES registry on March 3, 2016.
Where is Grand Avenue Urgent Care, LLC located?
Grand Avenue Urgent Care, LLC is located at 3236 E Grand Ave Ste D, Laramie, WY 82070. The listed phone number is (307) 760-8602.
What is Grand Avenue Urgent Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Grand Avenue Urgent Care, LLC enrolled in Medicare?
Yes. Grand Avenue Urgent Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Avenue Urgent Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grand Avenue Urgent Care, LLC. 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, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Grand Avenue Urgent Care, LLC accept?
Health plans from UnitedHealthcare list Grand Avenue Urgent Care, LLC 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 Grand Avenue Urgent Care, LLC was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Grand Avenue Urgent Care, Llc · NPI 1174983118
Urgent Care organization in Laramie, Wyoming. Organization record, active in the CMS NPPES registry since March 3, 2016.
## Identity
- **NPI:** 1174983118 (Entity type: Organization)
- **Enumerated:** March 3, 2016
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** John Jacobs, OWNER
## Practice location
- **Address:** 3236 E GRAND AVE STE D, Laramie, WY 82070-5100
- **Phone:** (307) 760-8602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1174983118) · Data from the CMS NPPES public registry.