NPIMap

Individual provider Active NPI

Landon Bruce Bluemel, M.D.

  • Anesthesiology Physician
  • Cheyenne, WY
National Provider Identifier
1023402955
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
TL5729 Issued in WY
Practice address
Cheyenne Regional Medical Center
214 E 23Rd St
Cheyenne, WY 82001
Phone
(801) 589-2016
Fax
(307) 633-7676
NPI assigned
Mar 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X TL5729 WY Primary

Addresses

Primary practice location

Cheyenne Regional Medical Center
214 E 23Rd St
Cheyenne, WY 82001

Mailing address

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (801) 589-2016

Other practice location 1

University Of Utah Department Of Medicine
30 N 1900 E SOM Rm 4C116
Salt Lake City, UT 84132-0001
Phone (801) 581-7899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190715001699 WY Practitioner - Anesthesiology 4587945076 Reassigns benefits to 2 organizations
I20250922002476 MT Practitioner - Anesthesiology 4587945076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missoula Anesthesiology PCGroup PAC ID 5597669960, 45 clinicians

Practice addresses (Care Compare)

500 W Broadway
St Patrick Hospital
Missoula, MT 59802-4008
Phone (406) 543-7271

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Consultants of Cheyenne LLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
North Lincoln County Hospital District CurrentSince Dec 1, 2023 Accepting new patients
Missoula Anesthesiology, P.C. Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
North Lincoln County Hospital District Past Accepting new patients
Ma Critical Care Services, PC Past Accepting new patients

Locations

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

324 E 23Rd St
Cheyenne, WY 82001
Phone (307) 634-2273

Organizations & group practices 5

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 5

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1023402955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "801-589-2016",
            "fax_number": "307-633-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHEYENNE REGIONAL MEDICAL CENTER",
            "address_2": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "801-589-2016",
            "fax_number": "307-633-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Utah Department Of Medicine",
            "address_2": "30 N 1900 E SOM Rm 4C116",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320001",
            "country_code": "US",
            "telephone_number": "801-581-7899",
            "fax_number": "801-585-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUEMEL",
        "first_name": "LANDON",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "TL5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.