SUMMIT MEMORIAL MEDICAL GROUP LLC
NPI 1598469462
General Practice in Casper, WY
About Summit Memorial Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MEMORIAL MEDICAL GROUP LLC (NPI 1598469462) is a healthcare organization registered as a general practice in Casper, Wyoming and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 5, 2027, maintains a secondary practice location in Casper, and lists James Cussins, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Summit Memorial Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Summit Memorial Medical Group LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 53D0986799
Summit Memorial Medical Group LLC · Casper, WYFrequently 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 Summit Memorial Medical Group LLC's NPI number?
The NPI number for Summit Memorial Medical Group LLC is 1598469462. It was assigned to this organization in the NPPES registry on March 27, 2023.
Where is Summit Memorial Medical Group LLC located?
Summit Memorial Medical Group LLC is located at 6500 E 2nd St, Casper, WY 82609. The listed phone number is (307) 577-1000.
What is Summit Memorial Medical Group LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Summit Memorial Medical Group LLC enrolled in Medicare?
Yes. Summit Memorial Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Memorial Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 14 Medicare specialties reassign their Medicare billing to Summit Memorial Medical Group 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. The largest specialties are Nurse Practitioner (8), Family Practice (6) and Orthopedic Surgery (4). Of these, 10 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Summit Memorial Medical Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 53D0986799) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Summit Memorial Medical Group LLC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Summit Memorial Medical Group 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 Summit Memorial Medical Group LLC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Summit Memorial Medical Group Llc · NPI 1598469462
General Practice organization in Casper, Wyoming. Organization record, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1598469462 (Entity type: Organization)
- **Enumerated:** March 27, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** James Cussins, CFO
## Practice location
- **Address:** 6500 E 2ND ST, Casper, WY 82609-4338
- **Phone:** (307) 577-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (6), Orthopedic Surgery (4); 10 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1598469462/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1598469462) · Data from the CMS NPPES public registry.