Individual provider Active NPI

Heather L Roberts, FNP-C

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1134302037
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22562.0933 Issued in WY
Practice address
100 Central Ave
Cheyenne, WY 82007-1330
Phone
(307) 633-4040
Fax
(307) 633-4050
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 22562.0933 WY Primary

Addresses

Primary practice location

100 Central Ave
Cheyenne, WY 82007-1330

Mailing address

2510 Wind River TRL
Cheyenne, WY 82009-2260
Phone (307) 633-4040

Other names 1

  • Heather L Cooper Former name

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
I20080313000665 WY Practitioner - Nurse Practitioner 1254416266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne Skin Clinic LLPGroup PAC ID 4183772122, 11 clinicians

Practice addresses (Care Compare)

123 Western Hills Blvd
Cheyenne, WY 82009-3446
Phone (307) 635-0226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22562.0933WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Skin Clinic LLP CurrentSince Aug 26, 2010 Accepting new patients
Cheyenne Skin Clinic Current Accepting new patients
Mountain West Surgical Specialists LLC PastSince Mar 1, 2024 Accepting new patients

Locations

123 Western Hills Blvd
Cheyenne, WY 82009
Phone (307) 635-0226

Interoperability endpoints

  • FHIR API: https://soap.crmcwy.org/fhirproxy/api/FHIR/R4

Organizations & group practices 3

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1134302037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WIND RIVER TRL",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092260",
            "telephone_number": "307-633-4040",
            "fax_number": "307-633-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRAL AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820071330",
            "telephone_number": "307-633-4040",
            "fax_number": "307-633-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "22562.0933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "COOPER",
            "middle_name": "L",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.