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SUMMIT OB GYN PC
NPI 1942664107
Specialist in Gillette, WY

Active since April 13, 2016CLIA 53D2115216 · Microscopy
1414 W 4TH ST, GILLETTE, WY 82716(307) 299-4496 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summit Ob Gyn Pc NPPES

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

SUMMIT OB GYN PC (NPI 1942664107) is a healthcare organization registered as a specialist in Gillette, Wyoming and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through June 29, 2028 and lists Anna Wilson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1942664107
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUMMIT OB GYN PC
Location Address1414 W 4TH STGillette, WY 82716-3328
Mailing Address1414 W 4th StGillette, WY 82716-3328
Phone(307) 299-4496
Organization SubpartNo
Authorized OfficialAnna WilsonPractice Manager · (307) 682-6263
Enumeration DateApril 13, 2016
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1942664107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in WY · 7203A✔ Licensed in WY · 8045A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 8335A (WY)
1414 W 4TH ST, Gillette, WY 82716
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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 ›

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 Ob Gyn Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Summit Ob Gyn PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Jeffrey Anderson, D.O.
Obstetrics/Gynecology
NPI 1043223696
1414 W 4TH ST
Gillette, WY 82716
(307) 682-6263
✔ PECOS✔ Accepts MedicareSame address
Angela Biggs, MD
Obstetrics/Gynecology
NPI 1689787814
1414 W 4TH ST
Gillette, WY 82716
(307) 682-6263
✔ PECOS✔ Accepts MedicareSame address
Courtney Goodnough, NP
Nurse Practitioner
NPI 1467010165
1414 W 4TH ST
Gillette, WY 82716
(307) 682-6263
✔ PECOS✔ Accepts MedicareSame address
Kimberlie Parks, NP-C
Nurse Practitioner
NPI 1770186470
1414 W 4TH ST
Gillette, WY 82716
(307) 682-6263
✔ PECOS✔ Accepts MedicareSame address
Stefani Bissonette, MD
Obstetrics/Gynecology
NPI 1407200660
700 E CENTER ST
Douglas, WY 82633
(307) 358-7300
✔ PECOS✔ Accepts Medicare106 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 53D2115216

Summit Ob Gyn PC · Gillette, WY
Active · expires Jun 29, 2028
CLIA Number53D2115216
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorAngela E. Biggs
Laboratory Phone(307) 299-4496
Laboratory LocationSummit Ob Gyn PC1414 W Fourth St, Gillette, WY 82716
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Ob Gyn PC's NPI number?

The NPI number for Summit Ob Gyn PC is 1942664107. It was assigned to this organization in the NPPES registry on April 13, 2016.

Where is Summit Ob Gyn PC located?

Summit Ob Gyn PC is located at 1414 W 4th St, Gillette, WY 82716. The listed phone number is (307) 299-4496.

What is Summit Ob Gyn PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Summit Ob Gyn PC enrolled in Medicare?

Yes. Summit Ob Gyn PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Ob Gyn PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Summit Ob Gyn PC. 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 Obstetrics/Gynecology (3) and Nurse Practitioner (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Summit Ob Gyn PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D2115216) is associated with this NPI, valid through June 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Ob Gyn PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Summit Ob Gyn PC 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 Ob Gyn PC was last updated on March 15, 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.