CHEYENNE SKIN CLINIC LLP
NPI 1740427509
Specialist in Cheyenne, WY
About Cheyenne Skin Clinic Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHEYENNE SKIN CLINIC LLP (NPI 1740427509) is a healthcare organization registered as a specialist in Cheyenne, Wyoming and active in the NPI registry since January 2009. The organization holds a CLIA Certificate of Compliance certificate valid through November 4, 2027 and lists Sandra K Surbrugg, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Cheyenne Skin Clinic Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Cheyenne Skin Clinic LLP, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: 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 Compliance 53D0519668
Cheyenne Skin Clinic · Cheyenne, 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 Cheyenne Skin Clinic LLP's NPI number?
The NPI number for Cheyenne Skin Clinic LLP is 1740427509. It was assigned to this organization in the NPPES registry on January 15, 2009.
Where is Cheyenne Skin Clinic LLP located?
Cheyenne Skin Clinic LLP is located at 123 Western Hills Blvd, Cheyenne, WY 82009. The listed phone number is (307) 635-0226.
What is Cheyenne Skin Clinic LLP's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Cheyenne Skin Clinic LLP enrolled in Medicare?
Yes. Cheyenne Skin Clinic LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cheyenne Skin Clinic LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Cheyenne Skin Clinic LLP. 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 Dermatology (3), Nurse Practitioner (3) and Internal Medicine (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cheyenne Skin Clinic LLP hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 53D0519668) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cheyenne Skin Clinic LLP accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Wyoming list Cheyenne Skin Clinic LLP 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 Cheyenne Skin Clinic LLP was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Cheyenne Skin Clinic Llp · NPI 1740427509
Specialist organization in Cheyenne, Wyoming. Organization record, active in the CMS NPPES registry since January 15, 2009.
## Identity
- **NPI:** 1740427509 (Entity type: Organization)
- **Enumerated:** January 15, 2009
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Sandra Surbrugg, MANAGING PARTNER
## Practice location
- **Address:** 123 WESTERN HILLS BLVD, Cheyenne, WY 82009-3446
- **Phone:** (307) 635-0226
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (3), Nurse Practitioner (3), Internal Medicine (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2009
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1740427509) · Data from the CMS NPPES public registry.