Individual provider Active NPI

Stephanie Michelle Soto, CRNP

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1265670848
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29362.1112 Issued in WY
Practice address
214 E 23Rd St
Cheyenne, WY 82001-3748
Phone
(307) 633-7002
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29362.1112 WY Primary
Family Nurse Practitioner 363LF0000X 1-109062 AL

Addresses

Primary practice location

214 E 23Rd St
Cheyenne, WY 82001-3748

Mailing address

5715 Education Dr Apt 301
Cheyenne, WY 82009-3966
Phone (307) 287-8215

Other names 1

  • Stephanie M Peete Hill 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000406 WY Practitioner - Nurse Practitioner 0042363103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group LLCGroup PAC ID 5092094532, 39 clinicians

Practice addresses (Care Compare)

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-109062ALMDFamily Nurse Practitioner
29362.1112WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care United Medical Center of Laramie, LLC CurrentSince May 25, 2016 Accepting new patients
Summit Medical Group, LLC CurrentSince Dec 1, 2016 Accepting new patients
Medi Horizons Inc Past Accepting new patients
Peak Emergency Physicians LLC Past Accepting new patients

Locations

1919 Central Ave
Cheyenne, WY 82001
Phone (307) 514-9888

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

3810 E Grand Ave
Laramie, WY 82070
Phone (307) 721-1794

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1265670848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 EDUCATION DR APT 301",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093966",
            "telephone_number": "307-287-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 23RD ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013748",
            "telephone_number": "307-633-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "29362.1112",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-109062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PEETE HILL",
            "middle_name": "M",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.