Individual provider Active NPI

Daoreuang Deedey Kidney, FNP-C

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1114572294
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44378 Issued in WY
Practice address
3632 American Way
Casper, WY 82604-3164
Phone
(307) 233-7300
NPI assigned
Aug 6, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 44378 WY Primary

Addresses

Primary practice location

3632 American Way
Casper, WY 82604-3164

Mailing address

3114 E 1St St
Casper, WY 82609-2137

Other identifiers 1

IdentifierTypeStateIssuer
44378OtherWYWYOMING STATE BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DKidney@wyomingmedicalcenter.org Wyoming Health Medical Group, LLC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024003388 WY Practitioner - Nurse Practitioner 0941532808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Associates of CheyenneGroup PAC ID 9032100557, 7 clinicians

Practice addresses (Care Compare)

7212 Commons Cir
Cheyenne, WY 82009-2667

7212 Commons Dr
Cheyenne, WY 82009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
92.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
44378WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group PC CurrentSince Jun 1, 2024 Accepting new patients
College Drive Urgent Care LLC CurrentSince Nov 9, 2021 Accepting new patients
Digestive Health Associates of Cheyenne CurrentSince Jun 1, 2024 Accepting new patients
Medi Horizons Inc Past Accepting new patients

Locations

2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500

4140 Laramie St
Cheyenne, WY 82001
Phone (307) 637-2800

7212 Commons Cir
Cheyenne, WY 82009
Phone (307) 635-4141

Interoperability endpoints

  • Direct secure messaging: dkidney@wyomingmedicalcenter.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114572294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 AMERICAN WAY",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043164",
            "telephone_number": "307-233-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDNEY",
        "first_name": "DAOREUANG",
        "middle_name": "DEEDEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "44378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING STATE BOARD OF NURSING",
            "identifier": "44378",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DKidney@wyomingmedicalcenter.org",
            "affiliation": "Y",
            "affiliationName": "Wyoming Health Medical Group, LLC",
            "address_1": "3632 American Way",
            "city": "Casper",
            "state": "WY",
            "country_code": "US",
            "postal_code": "826043164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.