PREMIER SURGICAL CENTER, LLC
NPI 1417228370
Clinic/Center - Ambulatory Surgical in Evanston, WY

Q: What is Premier Surgical Center, LLC's NPI number?

The NPI number for Premier Surgical Center, LLC is 1417228370. It was assigned to this organization in the NPPES registry on January 24, 2012.

Q: What is Premier Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 24, 2012CLIA 53D2036482 · Waiver

195 OVERTHRUST ROAD, EVANSTON, WY 82930(307) 444-3600(307) 444-3610 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Premier Surgical Center, Llc NPPES

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

PREMIER SURGICAL CENTER, LLC (NPI 1417228370) is a healthcare organization registered as an ambulatory surgical in Evanston, Wyoming and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Stephen C Sheppard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417228370

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePREMIER SURGICAL CENTER, LLC

Location Address195 OVERTHRUST ROADEvanston, WY 82930

Mailing Address195 Overthrust RoadEvanston, WY 82930 · (307) 444-3600 · Fax (307) 444-3610

Phone(307) 444-3600

Fax(307) 444-3610

Organization SubpartNo

Authorized OfficialStephen C SheppardAdministrator · (417) 889-2040

Enumeration DateJanuary 24, 2012

Last NPPES UpdateMarch 26, 2012

✔ NPI 1417228370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

195 OVERTHRUST ROAD, Evanston, WY 82930

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 53D2036482

Premier Surgical Center, LLC · Evanston, WY

Active · expires Feb 7, 2028

CLIA Number53D2036482

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 8, 2026

Certificate Expiration DateFebruary 7, 2028

Laboratory DirectorJason Haack

Laboratory Phone(307) 444-3600

Laboratory LocationPremier Surgical Center, LLC195 Overthrust Road, Evanston, WY 82930

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

64 services23 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

57 services52 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

31 services31 patients

Dilation of stomach outlet using a flexible endoscope 43245

This procedure involves expanding the opening of the stomach using a flexible tube with a light, called an endoscope. It helps improve food passage from the stomach to the small intestine. It's performed under sedation for patient comfort.

26 services24 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

26 services26 patients

Therapeutic fracture of nasal passages 30930

A therapeutic fracture of nasal passages is a medical procedure to correct issues with the nose's structure. It involves intentionally breaking and reshaping the nasal bones to improve breathing, correct deformities, or enhance appearance. This is done under anesthesia.

15 services15 patients

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 Premier Surgical Center, LLC's NPI number?

The NPI number for Premier Surgical Center, LLC is 1417228370. It was assigned to this organization in the NPPES registry on January 24, 2012.

Where is Premier Surgical Center, LLC located?

Premier Surgical Center, LLC is located at 195 Overthrust Road, Evanston, WY 82930. The listed phone number is (307) 444-3600.

What is Premier Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Premier Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2036482) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Surgical Center, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Premier Surgical Center, 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 Premier Surgical Center, LLC was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.