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SUMMIT MEMORIAL MEDICAL GROUP LLC
NPI 1598469462
General Practice in Casper, WY

Active since March 27, 2023CLIA 53D0986799 · Waiver
6500 E 2ND ST, CASPER, WY 82609(307) 577-1000 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1598469462
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUMMIT MEMORIAL MEDICAL GROUP LLC
Location Address6500 E 2ND STCasper, WY 82609-4338
Mailing Address222 S 5th StDouglas, WY 82633-2534 · (307) 358-1459
Phone(307) 577-1000
Organization SubpartNo
Authorized OfficialJames CussinsCfo · (307) 286-6738
Enumeration DateMarch 27, 2023
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1598469462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6500 E 2ND ST, Casper, WY 82609
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Secondary Practice Location 1

Location 11541 Diamond DrCasper, WY 82601-6247 · Phone (307) 439-1097

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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 53D0986799

Summit Memorial Medical Group LLC · Casper, WY
Active · expires Apr 5, 2027
CLIA Number53D0986799
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorAnna Cobb
Laboratory Phone(307) 233-0591
Laboratory LocationSummit Memorial Medical Group LLC6500 E 2nd Street, Casper, WY 82609
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVANNAH MARIE CARDENAS FNP, DNP
Family Medicine
6500 E 2ND ST
CASPER, WY 82609
Natrona County (307) 577-5100
JACOB EHLERT PA
Physician Assistant
6500 E 2ND ST
CASPER, WY 82609
Natrona County (307) 577-5100
JAMIE CATHERINE KIDDER NP-C
Nurse Practitioner
6500 E 2ND ST
CASPER, WY 82609
Natrona County (307) 995-8100
SHERRILL A FOX M.D.
Family Medicine
6500 E 2ND ST, SUITE 200
CASPER, WY 82609
Natrona County (307) 577-5100
REGIONAL WEST MEDICAL CENTER
Clinical Medical Laboratory
6500 E 2ND ST, SUITE 201
CASPER, WY 82609
Natrona County (307) 234-3800
WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING
Radiologic Technologist
6500 E 2ND ST, SUITE 100
CASPER, WY 82609
Natrona County (307) 577-5100
WESTERN MEDICAL ASSOCIATES, LLC
Family Medicine
6500 E 2ND ST, SUITE 200
CASPER, WY 82609
Natrona County (307) 577-5100
DR. RICARDO AUGUSTO CALDAS DO
Internal Medicine
6500 E 2ND ST
CASPER, WY 82609
Natrona County (307) 577-5100

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 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.

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 22 months 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.