Erin Elaine Fortner, D.O.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cheyenne, WY
NPI 1093566259 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1093566259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 820 E 17TH St
Cheyenne, WY 82001-4714 - Phone
- (307) 632-2434
- NPI assigned
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240808001722 | MA | Order and Referring Only - Emergency Medicine |
5496292492 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wyoming | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
820 E 17TH St
Cheyenne, WY 82001-4714
Mailing address
820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 632-2434
Other providers in Cheyenne, WY
- Jessica Dawn Fonseca
- Rachael A. Ford
- Tony Eugene Ford
- Melissa K Fornstrom
- Annalise Forsythe
- Aimee Foster
- Jeffrey Foster
- Keri D Foster
- Shelly A Foster
- Foundations Counseling & Consulting of Wyoming LLC
All providers in Cheyenne, WY · Student in an Organized Health Care Education/Training Program in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.