PINE BLUFFS CLINIC
NPI 1316340417
Clinic/Center - Federally Qualified Health Center (FQHC) in Pine Bluffs, WY
About Pine Bluffs Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE BLUFFS CLINIC (NPI 1316340417) is a healthcare organization registered as a federally qualified health center (fqhc) in Pine Bluffs, Wyoming and active in the NPI registry since October 2014. The organization holds 2 active CLIA laboratory certificates and lists Ronald Malm, Program Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Bluffs Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
74Medicare enrollment records show 74 clinicians reassign Medicare billing to Pine Bluffs Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 74Laramie, WY 82071
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 53D0519699
University Of Wyoming Family Medicine · Cheyenne, WYCertificate of Accreditation 53D2026171
University Of Wyoming Family Practice, The · Casper, WYFrequently 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 University Of Wyoming's NPI number?
The NPI number for University Of Wyoming is 1316340417. It was assigned to this organization in the NPPES registry on October 2, 2014. The provider is also known as Pine Bluffs Clinic.
Where is University Of Wyoming located?
University Of Wyoming is located at 117 E 4th St, Pine Bluffs, WY 82082. The listed phone number is (307) 245-3666.
What is University Of Wyoming's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is University Of Wyoming enrolled in Medicare?
Yes. University Of Wyoming is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through University Of Wyoming?
According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 14 Medicare specialties reassign their Medicare billing to University Of Wyoming. 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. The largest specialties are Family Practice (41), Nurse Practitioner (16) and Qualified Speech Language Pathologist (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does University Of Wyoming hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for University Of Wyoming was last updated on April 13, 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.
# Pine Bluffs Clinic · NPI 1316340417
Federally Qualified Health Center (FQHC) organization in Pine Bluffs, Wyoming. Organization record, active in the CMS NPPES registry since October 2, 2014.
## Identity
- **NPI:** 1316340417 (Entity type: Organization)
- **Enumerated:** October 2, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** University Of Wyoming
- **Organization subpart:** Yes (part of University Of Wyoming)
- **Authorized official:** Ronald Malm, PROGRAM DIRECTOR
## Practice location
- **Address:** 117 E 4TH ST, Pine Bluffs, WY 82082
- **Phone:** (307) 245-3666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 74 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (41), Nurse Practitioner (16), Qualified Speech Language Pathologist (5); [full list](https://npiprofile.com/npi/1316340417/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2016
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316340417) · Data from the CMS NPPES public registry.