Individual provider Active NPI

Lindsey Nicole Lang, FNP-C

  • Family Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1194557520
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54687 Issued in WY
Practice address
51 Town Center Dr Ste 120
Gillette, WY 82718-5521
Phone
(307) 682-9962
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 54687 WY Primary

Addresses

Primary practice location

51 Town Center Dr Ste 120
Gillette, WY 82718-5521

Mailing address

4115 Brorby Blvd
Gillette, WY 82718-9387
Phone (307) 680-5856

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
I20241126002490 WY Practitioner - Nurse Practitioner 3072048149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming Medical Associates LLCGroup PAC ID 2769802552, 12 clinicians

Practice addresses (Care Compare)

51 Town Ctr Dr
Suite 120
Gillette, WY 82718-5521
Phone (307) 682-9962

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Medical Associates, LLC CurrentSince Oct 14, 2024 Accepting new patients
Wyoming Medical Associates, LLC CurrentSince Oct 14, 2024 Accepting new patients

Locations

51 Town Center Dr
Ste 120
Gillette, WY 82718
Phone (307) 682-9962

1013 E Boxelder Rd
Ste 210
Gillette, WY 82718
Phone (307) 363-4133

Organizations & group practices 2

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 2

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1194557520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 BRORBY BLVD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189387",
            "telephone_number": "307-680-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 TOWN CENTER DR STE 120",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185521",
            "telephone_number": "307-682-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "54687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.