PPM WYOMING LLC
NPI 1366289290
Clinic/Center - Multi-Specialty in Afton, WY
About Ppm Wyoming Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PPM WYOMING LLC (NPI 1366289290) is a healthcare organization registered as a multi-specialty in Afton, Wyoming and active in the NPI registry since July 2024. The organization lists Amber Tueller, Corporate Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ppm Wyoming Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ppm Wyoming LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ppm Wyoming LLC's NPI number?
The NPI number for Ppm Wyoming LLC is 1366289290. It was assigned to this organization in the NPPES registry on July 9, 2024.
Where is Ppm Wyoming LLC located?
Ppm Wyoming LLC is located at 770 S Washington St Ste B, Afton, WY 83110. The listed phone number is (888) 253-6598.
What is Ppm Wyoming LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Ppm Wyoming LLC enrolled in Medicare?
Yes. Ppm Wyoming LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ppm Wyoming LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ppm Wyoming LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ppm Wyoming LLC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Ppm Wyoming 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 Ppm Wyoming LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Ppm Wyoming Llc · NPI 1366289290
Multi-Specialty organization in Afton, Wyoming. Organization record, active in the CMS NPPES registry since July 9, 2024.
## Identity
- **NPI:** 1366289290 (Entity type: Organization)
- **Enumerated:** July 9, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Amber Tueller, CORPORATE SECRETARY
## Practice location
- **Address:** 770 S WASHINGTON ST STE B, Afton, WY 83110-5135
- **Phone:** (888) 253-6598
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366289290) · Data from the CMS NPPES public registry.