Glenrock Hospital District
A Medicare group practice based in Glenrock, WY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8527976828), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8527976828
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
- Enrolled in
- WY
- Enrollments
- 3
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20071119000058 | WY | Part A Provider - Rural Health Clinic | 1093758161 |
| O20040604000855 | WY | Part B Supplier - Clinic/Group Practice | 1093758161 |
| O20100111000697 | WY | Part B Supplier - Independent Clinical Laboratory | 1437294972 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Glenrock Hospital District
dba glenrock health center
- Rural Health Clinic/Center
- Glenrock, WY
- NPI 1093758161
-
Glenrock Hospital District
dba glenrock health center
- Clinical Medical Laboratory
- Glenrock, WY
- NPI 1437294972
Practice locations
- Glenrock, WY3
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (5).
-
Jarryd William Butler, PA
- Physician Assistant
- Lakewood, CO
- NPI 1902513336
-
Donald Coulter, NP
- Acute Care Nurse Practitioner
- Casper, WY
- NPI 1093248114
-
Sara E Malsom, PA-C
- Physician Assistant
- Casper, WY
- NPI 1033528666
-
Audrey Noelle Mathson, LCSW
- Clinical Social Worker
- Glenrock, WY
- NPI 1477044261
-
Joseph Edward Mickelson, MD
- Family Medicine Physician
- Casper, WY
- NPI 1467448043
-
Ashley Oviedo-Lopez, FNP-BC
- Family Nurse Practitioner
- Glenrock, WY
- NPI 1841797461
-
Jennifer Lynn Rosics, PA-C
- Medical Physician Assistant
- Casper, WY
- NPI 1356572580
-
Venice Lucia Wilkes, PA-C
- Physician Assistant
- Logan, UT
- NPI 1821596073
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.