MONUMENT HEALTH UPTON CLINIC
NPI 1629457643
Family Medicine in Upton, WY

Active since May 22, 2015
717 PINE STREET, UPTON, WY 82730(307) 468-2302(605) 718-7082 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Monument Health Upton Clinic NPPES

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

MONUMENT HEALTH UPTON CLINIC (NPI 1629457643) is a healthcare organization registered as a family medicine in Upton, Wyoming and active in the NPI registry since May 2015. The organization lists Thomas Worsley, President Spearfish Hospital, as its authorized official.

NPPES Registry Identity

NPI1629457643
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMONUMENT HEALTH NETWORK, INC.
Location Address717 PINE STREETUpton, WY 82730-9901
Mailing AddressPo Box 860013Minneapolis, MN 55486-0013 · (307) 468-2302 · Fax (605) 755-7884
Fax(605) 718-7082
Organization SubpartNo
Authorized OfficialThomas WorsleyPresident Spearfish Hospital · (605) 644-4091
Enumeration DateMay 22, 2015
Last NPPES UpdateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1629457643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
717 PINE STREET, Upton, WY 82730

Other Names 1

Doing Business AsMonument Health Upton Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Monument Health Upton Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Monument Health Upton Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Registered Dietitian or Nutrition Professional
NPI 1033497425
713 W OAK STREET
Sundance, WY 82729
(307) 283-3501
25 mi
Family Practice
NPI 1689767352
1121 WASHINGTON AVE
Newcastle, WY 82701
(307) 746-3582
✔ PECOS28 mi
Family Practice
NPI 1285713792
1121 WASHINGTON AVE
Newcastle, WY 82701
(307) 746-3582
✔ PECOS28 mi
Dermatology
NPI 1972790160
550 EAST COLORADO BLVD
Spearfish, SD 57783
(605) 717-8860
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1033638291
1445 NORTH AVE
Spearfish, SD 57783
(605) 644-4170
✔ PECOS✔ Accepts Medicare47 mi
General Surgery
NPI 1710203401
1445 NORTH AVE
Spearfish, SD 57783
(605) 644-4170
✔ PECOS✔ Accepts Medicare47 mi
Podiatry
NPI 1871566745
1420 N 10TH ST
Spearfish, SD 57783
(605) 642-8414
✔ PECOS47 mi
Orthopedic Surgery
NPI 1962716761
311 N 27TH ST
Spearfish, SD 57783
(605) 569-6000
✔ PECOS✔ Accepts Medicare48 mi
General Surgery
NPI 1093071441
301 E 2ND ST
Richland Center, WI 53581
(608) 647-6161
✔ PECOS✔ Accepts Medicare714 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Monument Health Network, Inc.'s NPI number?

The NPI number for Monument Health Network, Inc. is 1629457643. It was assigned to this organization in the NPPES registry on May 22, 2015. The provider is doing business as Monument Health Upton Clinic.

Where is Monument Health Network, Inc. located?

Monument Health Network, Inc. is located at 717 Pine Street, Upton, WY 82730. The listed phone number is (307) 468-2302.

What is Monument Health Network, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monument Health Network, Inc. enrolled in Medicare?

Yes. Monument Health Network, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Monument Health Network, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians reassign their Medicare billing to Monument Health Network, Inc., in Dermatology, Family Practice, General Surgery, Nurse Practitioner, Orthopedic Surgery and 2 other specialties. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Monument Health Network, Inc. accept?

Health plans from Avera Health Plans list Monument Health Network, Inc. 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 Monument Health Network, Inc. was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.