High Country Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HIGH COUNTRY PRIMARY CARE, LLC

Practice address

389 Adams St
Afton, WY 83110-5056

Phone

(307) 885-9883

NPI assigned

Apr 18, 2023

Last updated

Apr 22, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

HIGH COUNTRY BEHAVIORAL HEALTHAs reported in NPPES

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

Authorized official

Name

Shannon Nizer

Title

Credentialing Specialist

Phone

(307) 885-9883

Specialties & licenses 3

Addresses

Other names 1

• High Country Behavioral Health Other name

Part of

High Country Behavioral Health

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• High Country Behavioral Health

  • Recovery Care Clinic/Center
  • Rawlins, WY
  • NPI 1861698524

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kipp Dana, LPC

  • Professional Counselor
  • Afton, WY
  • NPI 1386825446

  Mental Health

  NPD
• Sheila M Newman

  • Community Health Worker
  • Evanston, WY
  • NPI 1114698610
  NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1073209441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831100376",
            "telephone_number": "307-885-9883",
            "fax_number": "307-885-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 ADAMS ST",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831105056",
            "telephone_number": "307-885-9883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Madora Ave",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826333057",
            "country_code": "US",
            "telephone_number": "307-358-2846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046147",
            "country_code": "US",
            "telephone_number": "208-542-1026",
            "fax_number": "208-528-2945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Thermopolis",
            "state": "WY",
            "postal_code": "824432634",
            "country_code": "US",
            "telephone_number": "307-864-3138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Rawlins",
            "state": "WY",
            "postal_code": "823015447",
            "country_code": "US",
            "telephone_number": "307-324-7156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Country Club Ln",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "WY",
            "postal_code": "82941",
            "country_code": "US",
            "telephone_number": "307-367-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Overthrust Rd",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "82930",
            "country_code": "US",
            "telephone_number": "307-789-4224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 E Clark St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832013357",
            "country_code": "US",
            "telephone_number": "208-478-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGH COUNTRY PRIMARY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGH COUNTRY BEHAVIORAL HEALTH",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "NIZER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "307-885-9883"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Country Behavioral Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "High Country Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary Max Hess, CRNA
• Elisabeth Heusingfeld
• High Country Behavioral Health
• High Country Behavioral Health
• High Country Medical Supply
• Kyle Hirschi, PA-C
• Chereon C Hoopes
• Hospice Alliance of Wyoming, LLC
• Courtney Kay Hunt
• Huntsman Chiropractic LLC

• Family Medicine Physician in Afton, WY
• Providers in Afton, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.