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PONY EXPRESS PEDIATRICS, LLC
NPI 1265087993
Nurse Practitioner - Pediatrics in Cheyenne, WY

Active since August 08, 2019
1307 CROOK AVE, CHEYENNE, WY 82001(321) 313-3595 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pony Express Pediatrics, Llc NPPES

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

PONY EXPRESS PEDIATRICS, LLC (NPI 1265087993) is a healthcare organization registered as a pediatrics in Cheyenne, Wyoming and active in the NPI registry since August 2019. The organization lists Christa Jayleen Kovachevich, Owner/aprn Cpnp-pc, as its authorized official.

NPPES Registry Identity

NPI1265087993
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NamePONY EXPRESS PEDIATRICS, LLC
Location Address1307 CROOK AVECheyenne, WY 82001-5412
Mailing Address2076 Painted Sky RdCheyenne, WY 82009-9196 · (321) 313-3595
Phone(321) 313-3595
Organization SubpartYes
Authorized OfficialChrista Jayleen KovachevichOwner/aprn Cpnp-pc · (321) 313-3595
Enumeration DateAugust 8, 2019
✔ NPI 1265087993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
1307 CROOK AVE, Cheyenne, WY 82001
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Other Identifiers 1

Medicaid016218600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CHRISTA J KOVACHEVICH ARNP, CPNP-PC
Nurse Practitioner (Pediatrics)
1307 CROOK AVE
CHEYENNE, WY 82001
Laramie County (321) 313-3595

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 Pony Express Pediatrics, LLC's NPI number?

The NPI number for Pony Express Pediatrics, LLC is 1265087993. It was assigned to this organization in the NPPES registry on August 8, 2019.

Where is Pony Express Pediatrics, LLC located?

Pony Express Pediatrics, LLC is located at 1307 Crook Ave, Cheyenne, WY 82001. The listed phone number is (321) 313-3595.

What is Pony Express Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Pony Express Pediatrics, LLC was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.