MR. KENNETH L ROBERTSON MD FACP
NPI 1831101609
Internal Medicine in Laramie, WY
About Mr. Kenneth L Robertson Md Facp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH L ROBERTSON MD FACP (NPI 1831101609) is an individual internal medicine provider in Laramie, Wyoming, licensed in Wyoming (2617A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kenneth L Robertson Md Facp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laramie, WY 82072
- Reassigned Medicare billing, Wyoming enrollment
- 146 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82072 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LARAMIE, WY 82072
LARAMIE, WY 82072
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 Kenneth Robertson's NPI number?
The NPI number for Kenneth Robertson is 1831101609. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Kenneth Robertson located?
Kenneth Robertson practices at 3116 Willett Dr, Laramie, WY 82072. The listed phone number is (307) 745-8800.
What is Kenneth Robertson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kenneth Robertson enrolled in Medicare?
Yes. Kenneth Robertson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Robertson reassigns Medicare benefits to Ivinson Memorial Hospital (Laramie, WY). The 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 Kenneth Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Robertson accept?
Health plans from Blue Cross Blue Shield of Wyoming list Kenneth Robertson 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 Kenneth Robertson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Kenneth L Robertson, MD FACP · NPI 1831101609
Internal Medicine physician in Laramie, Wyoming. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1831101609 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2617A (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 3116 WILLETT DR, Laramie, WY 82072
- **Phone:** (307) 745-8800 · **Fax:** (307) 745-4150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ivinson Memorial Hospital (NPI 1033628599, Laramie, WY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 301995 (WY); Medicare UPIN A73200
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Source: [NPI Profile](https://npiprofile.com/npi/1831101609) · Data from the CMS NPPES public registry.