Wyocity Medical Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WYOCITY MEDICAL GROUP LLC

Practice address

940 E 3Rd St Ste 205
Casper, WY 82601-3251

Phone

(307) 394-1341

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Robert Andrew Dunn, MDNPI 1972881027

Title

Ceo/Physician

Phone

(307) 394-1341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Andrew Dunn

  • Family Medicine Physician
  • Casper, WY
  • NPI 1972881027
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Michele Peak, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Casper, WY
  • NPI 1457054280
  Medicare reassignment Care Compare group NPD
• Jessica Ann Peterson, CPNP-PC

  • Pediatric Nurse Practitioner
  • Casper, WY
  • NPI 1881327971
  NPD
• Michael J. Granum, M.D.

  • Pediatrics Physician
  • Casper, WY
  • NPI 1952367039
  NPD (past)
• Shelley C Springer, MD

  • Pediatrics Physician
  • Casper, WY
  • NPI 1326037151
  NPD (past)

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1033800321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 205",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-394-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 205",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-394-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826013237",
            "country_code": "US",
            "telephone_number": "307-394-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WYOCITY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "307-394-1341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Wylie, COTA/L/CASE MANAGER
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• Wyoming Behavioral Institute
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• Primary Care Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Primary Care Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.