EVANSTON HOSPITAL CORPORATION
NPI 1366989014
Family Medicine in Lyman, WY
About Evanston Hospital Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVANSTON HOSPITAL CORPORATION (NPI 1366989014) is a healthcare organization registered as a family medicine in Lyman, Wyoming and active in the NPI registry since January 2017. The organization lists Jeremy Davis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Evanston Hospital Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Evanston Hospital Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 27Source: 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 Evanston Hospital Corporation's NPI number?
The NPI number for Evanston Hospital Corporation is 1366989014. It was assigned to this organization in the NPPES registry on January 19, 2017.
Where is Evanston Hospital Corporation located?
Evanston Hospital Corporation is located at 107 N Main St., Lyman, WY 82937. The listed phone number is (307) 787-3313.
What is Evanston Hospital Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Evanston Hospital Corporation enrolled in Medicare?
Yes. Evanston Hospital Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evanston Hospital Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 7 Medicare specialties reassign their Medicare billing to Evanston Hospital Corporation. 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 Certified Registered Nurse Anesthetist (CRNA) (11), Family Practice (5) and Internal Medicine (5). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Evanston Hospital Corporation accept?
Health plans from Blue Cross Blue Shield of Wyoming and University of Utah Health Plans list Evanston Hospital Corporation 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 Evanston Hospital Corporation was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Evanston Hospital Corporation · NPI 1366989014
Family Medicine organization in Lyman, Wyoming. Organization record, active in the CMS NPPES registry since January 19, 2017.
## Identity
- **NPI:** 1366989014 (Entity type: Organization)
- **Enumerated:** January 19, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Davis, CEO
## Practice location
- **Address:** 107 N MAIN ST., Lyman, WY 82937-0001
- **Phone:** (307) 787-3313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (11), Family Practice (5), Internal Medicine (5); 1 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1366989014/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366989014) · Data from the CMS NPPES public registry.