DR. WILLIAM JOSEPH WYATT MD
NPI 1184728537
Surgery - Plastic and Reconstructive Surgery in Kimball, NE

Q: What is William Wyatt's NPI number?

The NPI number for William Wyatt is 1184728537. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is William Wyatt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for William Wyatt was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 07, 2006PECOS Enrolled

505 S BURG ST, KIMBALL, NE 69145(308) 235-1951(308) 235-1954 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2020, May 11, 2019 (2 updates tracked since 2019).

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About Dr. William Joseph Wyatt Md NPPES

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

DR. WILLIAM JOSEPH WYATT MD (NPI 1184728537) is an individual plastic and reconstructive surgery provider in Kimball, Nebraska, licensed in Nebraska (20963) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pine Bluffs.

NPPES Registry Identity

NPI1184728537

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. WILLIAM JOSEPH WYATTCredential: MD

Location Address505 S BURG STKimball, NE 69145-1313

Mailing Address505 S Burg StKimball, NE 69145-1313 · (308) 235-1951 · Fax (308) 235-1954

Phone(308) 235-1951

Fax(308) 235-1954

Sole ProprietorNo

Enumeration DateSeptember 7, 2006

Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration

✔ NPI 1184728537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Licenses✔ Licensed in NE · 20963✔ Licensed in WY · 6212A

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 20963 (NE), 6212A (WY)

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 6212A (WY), 20963 (NE)

Also ListedSurgeryTaxonomy 208600000X · License 6212A (WY)

505 S BURG ST, Kimball, NE 69145

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Secondary Practice Location 1

Location 1117 E 4th StPine Bluffs, WY 82082-5000 · Phone (307) 245-3666 · Fax (307) 245-3656

Other Identifiers 2

Other102753300WY · Workers Comp

Medicaid113999100WY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Joseph Wyatt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier30 claims30 services$77.14 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$39.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. KIRK ALAN EVERTSON PT, DPT

Physical Therapist

505 S BURG ST
KIMBALL, NE 69145

Kimball County (308) 235-1953

MRS. GAYLE L PERKINS PAC

Physician Assistant

505 S BURG ST
KIMBALL, NE 69145

Kimball County (308) 235-1966

TAYLOR ELIZABETH SCHROEDER DNP

Nurse Practitioner

505 S BURG ST
KIMBALL, NE 69145

Kimball County (308) 235-1951

MRS. ELIZABETH ANN KENYON RD

Dietitian, Registered

505 S BURG ST
KIMBALL, NE 69145

Kimball County (308) 235-1951

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 William Wyatt's NPI number?

The NPI number for William Wyatt is 1184728537. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is William Wyatt located?

William Wyatt practices at 505 S Burg St, Kimball, NE 69145. The listed phone number is (308) 235-1951.

What is William Wyatt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is William Wyatt enrolled in Medicare?

Yes. William Wyatt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Wyatt was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.