Nathan Valencia Still, D.O.
Individual provider Active NPI Internal Medicine Physician · Laramie, WY
NPI 1356722003 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1356722003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 94-08688 (KS)
- Practice address
- 255 N 30TH St
Laramie, WY 82072 - Phone
- (307) 742-2141
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 30
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Hospital Based Physicians Colorado LLC
Ivinson Memorial Hospital
Practice addresses (Care Compare)
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593
255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2142
Hospital & facility affiliations
- Ivinson Memorial Hospital
- Banner North Colorado Medical Center
- Poudre Valley Hospital
- Banner Fort Collins Medical Center
- Ivinson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.68 of 100
- Quality
- 75.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY, CO
- 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 |
|---|---|---|---|---|
| I20180618000868 | WY | Practitioner - Internal Medicine | 3870807969 | Reassigns benefits to 1 organization |
| I20260513000347 | CO | Practitioner - Internal Medicine |
3870807969 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-08688 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivinson Memorial Hospital | Current |
Accepting new patients | |
| Ivinson Memorial Hospital | Current |
Accepting new patients | |
| Ivinson Memorial Hospital | Past | Accepting new patients |
Locations
3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TL4374 | WY | |
| Internal Medicine Physician | 207R00000X | 94-08688 | KS | Yes |
Addresses
Primary practice location
255 N 30TH St
Laramie, WY 82072
Mailing address
255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2141
Other providers in Laramie, WY
- Bethany Uribe
- Urology Clinic PC
- Uw Student Health Service Pharmacy
- Cathy Alberta Valades-Flynn
- Chantelle Madaline Valencia Lemus
- Laramie Valle
- Alexis Vallier
- Kendra Vallier
- Dale Warren Van Wig
- Annette Vanbaalen
All providers in Laramie, WY · Internal 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 11, 2018. 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.