Active NPI
Nicole Quinn
- Nurse Practitioner
- Cheyenne, WY
National Provider Identifier
1063365179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 57270
- Practice address
- 1950 Bluegrass Cir Ste 100
Cheyenne, WY 82009-7363 - Phone
- (440) 600-8983
- NPI assigned
- Feb 18, 2026
- Last updated
- Jun 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 57270 | WY | Primary |
Addresses
Primary practice location
1950 Bluegrass Cir Ste 100
Cheyenne, WY 82009-7363
Mailing address
5612 Carmel Dr
Cheyenne, WY 82009-5689
Phone (713) 206-6235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57270 | WY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1063365179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5612 CARMEL DR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820095689",
"telephone_number": "713-206-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 BLUEGRASS CIR STE 100",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820097363",
"telephone_number": "440-600-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-18",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "57270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.