Individual provider Active NPI

Shelby Yates, MSN, FNP-BC

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1013794031
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54178 Issued in WY
Practice address
6600 E 2ND St
Casper, WY 82609-4348
Phone
(307) 233-0202
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 54178 WY Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APN.0999107-NP CO

Addresses

Primary practice location

6600 E 2ND St
Casper, WY 82609-4348

Mailing address

320 S Maple Ave
Eaton, CO 80615-8232
Phone (307) 534-5913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603000837 WY Practitioner - Nurse Practitioner 5496297731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6600 E 2ND St
Suite D
Casper, WY 82609-4348
Phone (307) 473-6768

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0999107-NPCOMDFamily Nurse Practitioner
54178WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Banner Health Physicians West LLC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients

Locations

3632 American Way
Ste B
Casper, WY 82604
Phone (307) 233-7300

6600 E 2nd St
Ste D
Casper, WY 82609
Phone (307) 473-6768

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1013794031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MAPLE AVE",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806158232",
            "telephone_number": "307-534-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094348",
            "telephone_number": "307-233-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "SHELBY",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "54178",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0999107-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.