NPIMap

Individual provider Active NPI

Jean Denise Basta, MD

  • Orthopaedic Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1104811504
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
6885A Issued in WY
Practice address
2301 House Ave
Suite 505
Cheyenne, WY 82001-3179
Phone
(307) 632-9261
Fax
(307) 634-9170
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 6885A WY Primary

Addresses

Primary practice location

2301 House Ave
Suite 505
Cheyenne, WY 82001-3179

Mailing address

2301 House Ave
Suite 505
Cheyenne, WY 82001-3179
Phone (307) 632-9261

Other identifiers 5

IdentifierTypeStateIssuer
118705800MedicaidWY
P00061023OtherRAILROAD MEDICARE
82001A004OtherWYTRICARE
0726680001OtherDMERC
312232OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031117000130 WY Practitioner - Orthopedic Surgery 5597679365 Reassigns benefits to 1 organization
I20191022002365 MT Practitioner - Orthopedic Surgery 5597679365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabert Medical Services IncGroup PAC ID 2668385402, 23 clinicians
Cheyenne Orthopaedics PCGroup PAC ID 0941113229, 3 clinicians

Practice addresses (Care Compare)

107 Dilworth St
Glendive, MT 59330-2053
Phone (406) 345-8901

5320 Education Dr
Cheyenne, WY 82009-4058
Phone (307) 632-9261

Hospital & facility affiliations

  • Glendive Medical Center Hospital, Glendive, MT, CCN 271332
  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
  • Sidney Health Center Hospital, Sidney, MT, CCN 271344
  • Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue15
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glendive Medical Center, Inc CurrentSince Jun 17, 2019 Accepting new patients
Glendive Medical Center, Inc CurrentSince Jun 17, 2019 Accepting new patients
Cheyenne Orthopaedics, PC Orthopaedic Surgery CurrentSince Aug 15, 2003 Accepting new patients
Gabert Medical Services, Inc CurrentSince Aug 19, 2019 Accepting new patients
Glendive Medical Center, Inc Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

107 Dilworth St
Glendive, MT 59330
Phone (406) 345-8900

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

2301 House Ave
Cheyenne, WY 82001
Phone (307) 632-9261

2301 House Ave
Ste 505
Cheyenne, WY 82001
Phone (307) 632-9261

5320 Education Dr
Cheyenne, WY 82009
Phone (307) 632-5589

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.526002
  • Direct secure messaging: jbasta@gmc.cernerdirect.com

Organizations & group practices 6

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1104811504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 505",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013179",
            "telephone_number": "307-632-9261",
            "fax_number": "307-634-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 505",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013179",
            "telephone_number": "307-632-9261",
            "fax_number": "307-634-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "JEAN",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WY",
            "license": "6885A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118705800",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "82001A004",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0726680001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "312232",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.