1. Home
  2. Directory
  3. Wyoming
  4. Casper
  5. Pediatrics
  6. NPI Profile

307 PEDIATRICS LLC
NPI 1265288526
Pediatrics in Casper, WY

Active since April 27, 2024CLIA 53D2304339 · Waiver
940 E 3RD ST STE 203, CASPER, WY 82601(307) 851-3606 Get Directions Write a Review

NPPES record last updated: April 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 307 Pediatrics Llc NPPES

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

307 PEDIATRICS LLC (NPI 1265288526) is a healthcare organization registered as a pediatrics in Casper, Wyoming and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Jessica Peterson, Cpnp-pc, as its authorized official.

NPPES Registry Identity

NPI1265288526
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business Name307 PEDIATRICS LLC
Location Address940 E 3RD ST STE 203Casper, WY 82601-3251
Mailing Address940 E 3rd St Ste 203Casper, WY 82601-3251
Phone(307) 851-3606
Organization SubpartNo
Authorized OfficialJessica PetersonCpnp-pc · (307) 216-5310
Enumeration DateApril 27, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1265288526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
940 E 3RD ST STE 203, Casper, WY 82601
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2304339

307 Pediatrics LLC · Casper, WY
Active · expires May 9, 2028
CLIA Number53D2304339
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorDevin Rhoades
Laboratory Phone(307) 216-5310
Laboratory Location307 Pediatrics LLC940 E 3rd Street Suite 203, Casper, WY 82601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. MELISSA M. KNUDSON-JOHNSON M.D.
Internal Medicine
940 E 3RD ST STE 203
CASPER, WY 82601
Natrona County (307) 333-6940
CHILDREN 1ST PEDIATRICS, LLC
Pediatrics
940 E 3RD ST STE 203
CASPER, WY 82601
Natrona County (307) 277-1256
AMANDA GERISE VIGNAROLI DNP. FNP-BC
Nurse Practitioner (Primary Care)
940 E 3RD ST STE 203
CASPER, WY 82601
Natrona County (307) 577-0465
ROBERT A VIGNERI
Pediatrics
940 E 3RD ST STE 203
CASPER, WY 82601
Natrona County (307) 577-0465

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 307 Pediatrics LLC's NPI number?

The NPI number for 307 Pediatrics LLC is 1265288526. It was assigned to this organization in the NPPES registry on April 27, 2024.

Where is 307 Pediatrics LLC located?

307 Pediatrics LLC is located at 940 E 3rd St Ste 203, Casper, WY 82601. The listed phone number is (307) 851-3606.

What is 307 Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does 307 Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2304339) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 307 Pediatrics LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list 307 Pediatrics 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 307 Pediatrics LLC was last updated on April 27, 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.