Individual provider Active NPI

Chyna Brooke Connely, APRN, FNP-C

  • Family Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1124792163
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
48308 Issued in WY
Practice address
1435 Burton St
Sheridan, WY 82801-2723
Phone
(307) 675-5850
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 48308 WY Primary

Addresses

Primary practice location

1435 Burton St
Sheridan, WY 82801-2723

Mailing address

1333 W 5TH St Ste 110
Sheridan, WY 82801-2752
Phone (307) 675-4668

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
I20211207000288 WY Practitioner - Nurse Practitioner 8820488828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians

Practice addresses (Care Compare)

2700 E 12TH St
Cheyenne, WY 82001-5604
Phone (203) 666-8145

Hospital & facility affiliations

  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Orthopedic & Spine Center of Wyoming PC CurrentSince Nov 22, 2021 Accepting new patients
Tapestry Telehealth PLLC CurrentSince May 24, 2023 Accepting new patients
Sheridan Opco LLC Past Accepting new patients
North Big Horn Hospital District Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

2700 E 12th St
Cheyenne, WY 82001
Phone (307) 222-2050

2201 S Douglas Hwy
Ste 120
Gillette, WY 82718
Phone (307) 370-1574

Interoperability endpoints

  • Direct secure messaging: chyna.connely.1@32214.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1124792163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 BURTON ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012723",
            "telephone_number": "307-675-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELY",
        "first_name": "CHYNA",
        "middle_name": "BROOKE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "48308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.