Caroline Frances Kirsch, DO
Individual provider Active NPI Family Medicine Physician · Casper, WY
NPI 1194957092 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1194957092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- TL#1194 (WY)
- Practice address
- 1522 E a St
Casper, WY 82601-2217 - Phone
- (307) 233-6000
- NPI assigned
- Aug 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Wyoming
Practice addresses (Care Compare)
1522 E a St
Casper, WY 82601-2217
Phone (307) 431-5055
Hospital & facility affiliations
- Banner Wyoming Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000120 | WY | Practitioner - Family Practice | 3476677683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL#1194 | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Casper-Natrona County Health Department | Current | Accepting new patients | |
| City of Casper-Natrona County Health Department | Current | Accepting new patients | |
| University of Wyoming | Family Medicine | Current |
Accepting new patients |
| University of Wyoming | Family Medicine | Past | Accepting new patients |
| Wyoming Medical Center Inc | Past | Accepting new patients |
Locations
1522 E A St
Casper, WY 82601
Phone (307) 233-6000
820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055
2710 Harney St
Ste 202
Laramie, WY 82072
Phone (307) 742-3242
Interoperability endpoints
- caroline.kirsch.1@30244.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TL#1194 | WY | Yes |
Addresses
Primary practice location
1522 E a St
Casper, WY 82601-2217
Mailing address
1522 E a St
Casper, WY 82601-2217
Phone (307) 233-6000
Other names
- Dr. Caroline Frances Kirsch Russell
Other providers in Casper, WY
- Brenda Sue King
- Carol Ann King
- Elaine King
- Kintsugi Psychiatry, LLC
- Amy Michelle Kirkman
- Melissa L Klinger
- Chelsie Klone
- Ryan Christopher Kloster
- Sarah Kludy
- Kmart Pharmacy
All providers in Casper, WY · Family Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.