Individual provider Active NPI

Mesha Luan Dunn, M.D.

  • Family Medicine Physician
  • Casper, WY
National Provider Identifier
1235491341
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9085A Issued in WY
Practice address
1522 E a St
Casper, WY 82601-2217
Phone
(307) 234-6161
Fax
(307) 234-7033
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9085A WY Primary

Addresses

Primary practice location

1522 E a St
Casper, WY 82601-2217

Mailing address

1402 Redtail St
Casper, WY 82601-5192
Phone (970) 324-7014

Other names 1

  • Ms. Mesha Luan Gough 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131002000379 WY Practitioner - Family Practice 2961636139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 S Conwell St
Casper, WY 82601-3921
Phone (307) 265-8300

1106 Big Horn Ave
Worland, WY 82401-2803
Phone (307) 347-8801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
68.13
Promoting interoperability
99
Improvement activities
40
Cost
69.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9085AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
University of Wyoming Family Medicine CurrentSince Jul 22, 2013 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
University of Wyoming Speech and Hearing Clinic CurrentSince Jul 22, 2013 Accepting new patients
University of Wyoming Family Medicine Current Accepting new patients
University of Wyoming Family Medicine Past Accepting new patients

Locations

1522 E A St
Casper, WY 82601
Phone (307) 233-6000

1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

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 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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1235491341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 REDTAIL ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826015192",
            "telephone_number": "970-324-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012217",
            "telephone_number": "307-234-6161",
            "fax_number": "307-234-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "MESHA",
        "middle_name": "LUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9085A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MESHA",
            "last_name": "GOUGH",
            "middle_name": "LUAN",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.