Individual provider Active NPI

Jan-Lukas Haeuptle, PA-C

  • Physician Assistant
  • Cheyenne, WY
National Provider Identifier
1306764220
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PT1468 Issued in WY
Practice address
3435 N College Dr Ste a
Cheyenne, WY 82001-2088
Phone
(307) 456-1919
NPI assigned
Jul 8, 2026
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT1468 WY Primary

Addresses

Primary practice location

3435 N College Dr Ste a
Cheyenne, WY 82001-2088

Mailing address

6058 Southern Hills Dr
Windsor, CO 80550-8068
Phone (307) 456-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care United Medical Center of Laramie, LLC CurrentSince Aug 1, 2026 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1306764220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 SOUTHERN HILLS DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805508068",
            "telephone_number": "307-456-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 N COLLEGE DR STE A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012088",
            "telephone_number": "307-456-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEUPTLE",
        "first_name": "JAN-LUKAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.