Individual provider Active NPI

Kristen Leann Schaefer, M.D.

  • Anesthesiology Physician
  • Sheridan, WY
National Provider Identifier
1093071060
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10517A Issued in WY
Practice address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone
(307) 672-1000
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 10517A WY Primary

Addresses

Primary practice location

1401 W 5TH St
Sheridan, WY 82801-2705

Mailing address

1401 W. 5TH St.
Sheridan, WY 82801

Other practice location 1

1959 NE Pacific Street, BB-1469
University of Washington, Box 356540
Seattle, WA 98195-6540
Phone (206) 543-2470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001433 WY Practitioner - Anesthesiology 9436445681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians
Big Horn Anesthesia Associates LLCGroup PAC ID 3577840784, 4 clinicians

Practice addresses (Care Compare)

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Hospital & facility affiliations

  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006

Merit-based Incentive Payment System (MIPS)

Final score
35.02 of 100Reported as group
Quality
70.04
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sheridan County CurrentSince Feb 1, 2026 Accepting new patients
Big Horn Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Feb 1, 2026 Accepting new patients

Locations

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

Organizations & group practices 3

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 1

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093071060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W. 5TH ST.",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific Street, BB-1469",
            "address_2": "University of Washington, Box 356540",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956540",
            "country_code": "US",
            "telephone_number": "206-543-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "KRISTEN",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-03-17",
        "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": "10517A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.