Individual provider Active NPI

Laura L Wells, NP

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1164634697
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8847 Issued in WI
Practice address
4136 Laramie St
Cheyenne, WY 82001-2086
Phone
(307) 212-6270
Fax
(307) 212-6271
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0005165-NP CO
Family Nurse Practitioner 363LF0000X 8847 WI Primary
Family Nurse Practitioner 363LF0000X 201403551NP-PP OR

Addresses

Primary practice location

4136 Laramie St
Cheyenne, WY 82001-2086

Mailing address

4136 Laramie St
Cheyenne, WY 82001-2086
Phone (307) 212-6270

Other practice location 1

3345 39th St S
Fargo, ND 58104-7539
Phone (877) 522-1275

Other identifiers 2

IdentifierTypeStateIssuer
128906OtherCOREGISTERED NURSE
1164634697MedicaidWI

Other names 1

  • Ms. Laura L Jolly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WI, NM, WA, MT, WY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20150930000038 NV Practitioner - Nurse Practitioner 1557598794 Reassigns benefits to 1 organization
I20190814002310 WI Practitioner - Nurse Practitioner 1557598794 Reassigns benefits to 1 organization
I20200731001234 NM Practitioner - Nurse Practitioner 1557598794 Reassigns benefits to 2 organizations
I20221020000217 WA Practitioner - Nurse Practitioner 1557598794 Reassigns benefits to 1 organization
I20230607002539 MT Practitioner - Nurse Practitioner 1557598794 Reassigns benefits to 1 organization
I20240213004143 WY Practitioner - Nurse Practitioner 1557598794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care Centers - Mt LLCGroup PAC ID 4284172008, 6 clinicians
Pain Care Center LLCGroup PAC ID 4385818681, 18 clinicians

Practice addresses (Care Compare)

3490 Gabel Rd
Suite 100
Billings, MT 59102-7389
Phone (406) 601-8001

4136 Laramie St
Suite a
Cheyenne, WY 82001-1969
Phone (307) 212-6270

Hospital & facility affiliations

  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
  • Platte County Hospital Hospital, Wheatland, WY, CCN 531305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8847WIMDProfessional Counselor
201403551NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Center, LLC CurrentSince Jan 15, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince Jun 1, 2019 Accepting new patients
Pain Care Centers - Mt, LLC CurrentSince Oct 17, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 21, 2020 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Aug 24, 2015 Accepting new patients
Pain Care Center, LLC CurrentSince Jan 15, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 21, 2020 Accepting new patients
Medtriq LLC CurrentSince Aug 1, 2025 Accepting new patients
Memorial Medical Center Inc CurrentSince Jun 1, 2019 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Locations

9000 Crow Canyon Rd
Ste S360
Danville, CA 94506
Phone (650) 438-8983

3490 Gabel Rd
Ste 100
Billings, MT 59102
Phone (406) 601-8001

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 669-5811

2603 Bridgeport Way W
Ste F
University Place, WA 98466
Phone (253) 564-4073

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

5850 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 472-0207

4136 Laramie St
Unit A
Cheyenne, WY 82001
Phone (307) 633-8100

4136 Laramie St
Cheyenne, WY 82001

170 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 448-2753

2620 Commercial Way
Ste 20
Rock Springs, WY 82901
Phone 3072126270114

Organizations & group practices 11

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 3

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1164634697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012086",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 LARAMIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012086",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3345 39th St S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581047539",
            "country_code": "US",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LAURA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0005165-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8847",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201403551NP-PP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "128906",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164634697",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "JOLLY",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.