Individual provider Active NPI

Elizabeth L Spomer, M.D.

  • Family Medicine Physician
  • Powell, WY
National Provider Identifier
1124017090
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6540A Issued in WY
Practice address
450 Mountain View St
Powell, WY 82435-2212
Phone
(307) 754-7257
Fax
(307) 754-7217
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6540A WY Primary

Addresses

Primary practice location

450 Mountain View St
Powell, WY 82435-2212

Mailing address

449 Mountain View St
Powell, WY 82435-2232
Phone (307) 754-4559

Other identifiers 2

IdentifierTypeStateIssuer
311051OtherWYBLUE CROSS BLUE SHIELD
MT MEDICAIDOtherMTMT MEDICAID

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
I20100720000726 WY Practitioner - Family Practice 2264518059 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6540AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Valley Healthcare Inc Family Medicine CurrentSince Dec 19, 2016 Accepting new patients
Powell Valley Health Care Inc CurrentSince Dec 19, 2016 Accepting new patients

Locations

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

450 Mountain View St
Unit B
Powell, WY 82435
Phone (307) 754-1202

Interoperability endpoints

  • Direct secure messaging: espomer@powellvalleyhealthcare.cernerdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124017090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352232",
            "telephone_number": "307-754-4559",
            "fax_number": "307-754-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352212",
            "telephone_number": "307-754-7257",
            "fax_number": "307-754-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOMER",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6540A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "311051",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT MEDICAID",
            "identifier": "MT MEDICAID",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.