Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CRYSTAL DAWN PETERSON FNP
NPI 1417853615
Nurse Practitioner - Family in Gillette, WY

Active since October 15, 2026
2112 BIG LOST DR, GILLETTE, WY 82718(307) 299-4653 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crystal Dawn Peterson Fnp NPPES

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

CRYSTAL DAWN PETERSON FNP (NPI 1417853615) is an individual family provider in Gillette, Wyoming, licensed in Wyoming (60221) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1417853615
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL DAWN PETERSONCredential: FNP
Location Address2112 BIG LOST DRGillette, WY 82718-4600
Mailing Address2112 Big Lost DrGillette, WY 82718-4600 · (307) 299-4653
Sole ProprietorYes
Enumeration DateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1417853615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WY · 60221
2112 BIG LOST DR, 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 Crystal Peterson's NPI number?

The NPI number for Crystal Peterson is 1417853615. It was assigned to this individual provider in the NPPES registry on October 15, 2026.

Where is Crystal Peterson located?

Crystal Peterson practices at 2112 Big Lost Dr, Gillette, WY 82718. The listed phone number is (307) 299-4653.

What is Crystal Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Crystal Peterson was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.