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KELLY GEBAUER WHNP-BC
NPI 1356964464
Nurse Practitioner - Women's Health in Cheyenne, WY

Active since May 22, 2020PECOS Enrolled
611 E CARLSON ST STE 102, CHEYENNE, WY 82009(307) 364-3415(307) 296-0349 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2021, Feb 24, 2021, May 22, 2020 (3 updates tracked since 2020).

About Kelly Gebauer Whnp-bc NPPES

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

KELLY GEBAUER WHNP-BC (NPI 1356964464) is an individual women's health provider in Cheyenne, Wyoming, licensed in Wyoming (47173) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356964464
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKELLY GEBAUERCredential: WHNP-BC
Location Address611 E CARLSON ST STE 102Cheyenne, WY 82009-4335
Mailing Address611 E Carlson St Ste 102Cheyenne, WY 82009-4335 · (307) 364-3415 · Fax (307) 296-0349
Phone(307) 364-3415
Fax(307) 296-0349
Sole ProprietorNo
Enumeration DateMay 22, 2020
Last NPPES UpdateJanuary 24, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1356964464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WY · 47173
Also ListedRegistered Nurse · Women's Health Care, AmbulatoryTaxonomy 163WW0101X · License 22963 (WY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 47173 (WY)
611 E CARLSON ST STE 102, Cheyenne, WY 82009
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Gebauer Whnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelly Gebauer's NPI number?

The NPI number for Kelly Gebauer is 1356964464. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Where is Kelly Gebauer located?

Kelly Gebauer practices at 611 E Carlson St Ste 102, Cheyenne, WY 82009. The listed phone number is (307) 364-3415.

What is Kelly Gebauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kelly Gebauer enrolled in Medicare?

Yes. Kelly Gebauer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Gebauer was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.