NORTH EAST WYOMING FAMILY MEDICINE
NPI 1396496535
Clinic/Center - Primary Care in Gillette, WY

Active since January 10, 2022
1901 ENERGY CT STE 119, GILLETTE, WY 82718(307) 696-8027 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North East Wyoming Family Medicine NPPES

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

NORTH EAST WYOMING FAMILY MEDICINE (NPI 1396496535) is a healthcare organization registered as a primary care in Gillette, Wyoming and active in the NPI registry since January 2022. The organization lists Travis Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1396496535
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTH EAST WYOMING FAMILY MEDICINE
Location Address1901 ENERGY CT STE 119Gillette, WY 82718-5500
Mailing Address1901 Energy Ct Ste 119Gillette, WY 82718-5500
Organization SubpartNo
Authorized OfficialTravis RobertsOwner · (307) 696-8027
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
NPI 1396496535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1901 ENERGY CT STE 119, Gillette, WY 82718

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 North East Wyoming Family Medicine's NPI number?

The NPI number for North East Wyoming Family Medicine is 1396496535. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is North East Wyoming Family Medicine located?

North East Wyoming Family Medicine is located at 1901 Energy Ct Ste 119, Gillette, WY 82718. The listed phone number is (307) 696-8027.

What is North East Wyoming Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for North East Wyoming Family Medicine was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.