ALYSE PFANKUCH MA
NPI 1962167098
Counselor - Professional in Cheyenne, WY

Active since November 03, 2021PECOS Enrolled
1918 THOMES AVE, CHEYENNE, WY 82001(307) 313-2777 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2025, Sep 20, 2024, Jun 16, 2024 and 1 more (4 updates tracked since 2021).

About Alyse Pfankuch Ma NPPES

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

ALYSE PFANKUCH MA (NPI 1962167098) is an individual professional provider in Cheyenne, Wyoming, licensed in Iowa (130923) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962167098
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALYSE PFANKUCHCredential: MA
Location Address1918 THOMES AVECheyenne, WY 82001-3527
Mailing Address4726 Mountain Rd Apt 520Cheyenne, WY 82009-5157 · (307) 221-0317
Sole ProprietorYes
Enumeration DateNovember 3, 2021
Last NPPES UpdateApril 5, 20254 updates tracked since enumeration
NPPES CertifiedApril 5, 2025
✔ NPI 1962167098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IA · 130923
Also ListedCounselorTaxonomy 101Y00000X · License LPC-2270 (WY)
1918 THOMES AVE, Cheyenne, WY 82001

Other Names 1

Former Name (1)Whitney Mcshane

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)

Alyse Pfankuch Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alyse Pfankuch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
1918 THOMES AVE
Cheyenne, WY 82001
  • Reassigned Medicare billing, Wyoming enrollment

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

Other Providers at the Same Location NPPES 3

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

Family Medicine (Addiction Medicine)
1918 THOMES AVE
CHEYENNE, WY 82001
Counselor (Professional)
1918 THOMES AVE
CHEYENNE, WY 82001
Counselor (Professional)
1918 THOMES AVE
CHEYENNE, WY 82001

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 Alyse Pfankuch's NPI number?

The NPI number for Alyse Pfankuch is 1962167098. It was assigned to this individual provider in the NPPES registry on November 3, 2021. The provider is also known as Whitney Mcshane.

Where is Alyse Pfankuch located?

Alyse Pfankuch practices at 1918 Thomes Ave, Cheyenne, WY 82001. The listed phone number is (307) 313-2777.

What is Alyse Pfankuch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alyse Pfankuch enrolled in Medicare?

Yes. Alyse Pfankuch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyse Pfankuch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyse Pfankuch reassigns Medicare benefits to Outside Therapy LLC (Cheyenne, 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 Alyse Pfankuch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyse Pfankuch accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Alyse Pfankuch 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 Alyse Pfankuch was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.