Active NPI
Frontier Neurosciences, LLC
- Neurology Physician
- Cody, WY
National Provider Identifier
1124235759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- FRONTIER NEUROSCIENCES, LLC
- Practice address
- 702 Platinum Dr
Cody, WY 82414-3420 - Phone
- (307) 578-1985
- Fax
- (307) 578-1938
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle R Lemmon
- Title
- Office Manager
- Phone
- (307) 578-1985
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
702 Platinum Dr
Cody, WY 82414-3420
Mailing address
702 Platinum Dr
Cody, WY 82414-3420
Phone (307) 578-1985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116581000 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040128000849 | WY | Part B Supplier - Clinic/Group Practice | 7911800958 |
Receives reassigned benefits from 10 practitioners Practice locations: Cody, WY |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
650 S Ferguson Ave
Ste 1
Bozeman, MT 59718
Phone (406) 238-6670
1008 13th St
Ste A
Cody, WY 82414
Phone (307) 578-1985
1013 E Boxelder Rd
Ste 230
Gillette, WY 82718
Interoperability endpoints
- https://api.platform.athenahealth.com/18779/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Cody, WY
- NPI 1548783814
Multi-Specialty, WY
-
- Sleep Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1629142898
WY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1124235759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 PLATINUM DR",
"city": "CODY",
"state": "WY",
"postal_code": "824143420",
"telephone_number": "307-578-1985",
"fax_number": "307-578-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 PLATINUM DR",
"city": "CODY",
"state": "WY",
"postal_code": "824143420",
"telephone_number": "307-578-1985",
"fax_number": "307-578-1938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER NEUROSCIENCES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "LEMMON",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "307-578-1985"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116581000",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.