Individual provider Active NPI

Daniel Grant Wann, MD

  • Clinical Cardiac Electrophysiology Physician
  • Greeley, CO
National Provider Identifier
1144600933
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
DR.0070595 Issued in CO
Practice address
1801 16TH St
Greeley, CO 80631-5154
Phone
(970) 810-4121
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X DR.0070595 CO
Clinical Cardiac Electrophysiology Physician 207RC0001X DR.0070595 CO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631-5154

Mailing address

1850 E Seadrift Dr
Windsor, CO 80550-3563
Phone (423) 596-0527

Other practice location 1

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

Other practice location 2

4700 Lady Moon Dr
Fort Collins, CO 80528-4426
Phone (970) 821-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230824003791 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082922588 Reassigns benefits to 1 organization
I20241015002499 WY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 4082922588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cheyenne Regional Physicians Group LLCGroup PAC ID 2961403639, 101 clinicians

Practice addresses (Care Compare)

1017 W 7TH St
Banner Health Clinic
Wray, CO 80758-1420
Phone (970) 332-2225

1800 15TH St
Greeley, CO 80631-4562

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

1900 Boise Ave
Loveland, CO 80538-5004

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

2301 House Ave
Suite 301
Cheyenne, WY 82001-3178
Phone (307) 637-1600

2400 Edison St
Brush, CO 80723-1640
Phone (970) 842-6200

4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 522-0122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0070595COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2024 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2024 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 21, 2023 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 21, 2023 Accepting new patients
Cheyenne Regional Physicians Group, LLC CurrentSince Feb 16, 2026 Accepting new patients
Cheyenne Children'S Clinic, PC Past Accepting new patients

Locations

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

1020 E 2nd St
Ste 201
Casper, WY 82601
Phone (307) 233-0250

2301 House Ave
Ste 301
Cheyenne, WY 82001
Phone (307) 637-1600

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 6

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1144600933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E SEADRIFT DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503563",
            "telephone_number": "423-596-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-810-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Boise Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805385006",
            "country_code": "US",
            "telephone_number": "970-820-4640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Lady Moon Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805284426",
            "country_code": "US",
            "telephone_number": "970-821-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANN",
        "first_name": "DANIEL",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0070595",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CO",
            "license": "DR.0070595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.