Kanti Devkota, FNP
Individual provider Active NPI Nurse Practitioner · Cheyenne, WY
NPI 1063979003 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1063979003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1817 (WY)
- Practice address
- 1331 Prairie Ave Ste 2
Cheyenne, WY 82009-4867 - Phone
- (307) 778-3121
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Life Care Physician Services LLC
Practice addresses (Care Compare)
1330 Prairie Ave
Cheyenne, WY 82009-4842
Phone (307) 778-8997
Hospital & facility affiliations
- Cheyenne Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190426000648 | WY | Practitioner - Nurse Practitioner | 0446592232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1817 | WY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Care Physician Services, LLC | Current |
Accepting new patients | |
| Howard a Schneider M.D. P.C. | Past | Accepting new patients |
Locations
240 Craft Dr
Alamosa, CO 81101
Phone (719) 589-3367
1991 Carroll St
Alamosa, CO 81101
Phone (719) 589-4951
1200 Village Rd
Carbondale, CO 81623
Phone (970) 963-1500
1250 Village Rd
Carbondale, CO 81623
Phone (970) 384-7033
815 Fremont Ave
Fort Morgan, CO 80701
Phone (970) 867-8261
530 W 16th St
Salida, CO 81201
Phone (303) 751-2000
4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1817 | WY | Yes |
Addresses
Primary practice location
1331 Prairie Ave Ste 2
Cheyenne, WY 82009-4867
Mailing address
1331 Prairie Ave
Ste 2
Cheyenne, WY 82009-4867
Phone (307) 778-3121
Other providers in Cheyenne, WY
- Anita Carolyn Deselms
- Kirstin Jo Deselms
- Designer Smiles LLC
- Kelsey J Devereaux
- Lillian Regina Devine
- Tracy Dicamillo
- Austin Robert Dickerson
- Felicia Ann Dickerson
- Lori Dickerson
- Eliza Dickinson
All providers in Cheyenne, WY · Nurse Practitioner in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.