Kelly Gebauer, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

47173 Issued in WY

Practice address

611 E Carlson St Ste 102
Cheyenne, WY 82009-4335

Phone

(307) 364-3415

Fax

(307) 296-0349

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1356964464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E CARLSON ST STE 102",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094335",
            "telephone_number": "307-364-3415",
            "fax_number": "307-296-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E CARLSON ST STE 102",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094335",
            "telephone_number": "307-364-3415",
            "fax_number": "307-296-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBAUER",
        "first_name": "KELLY",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "WY",
            "license": "22963",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "47173",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WY",
            "license": "47173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larkin Gates, RRT
• Craig Gathers II
• Haley Gautreau
• Eileen Marie Gavagan, M.A.
• Luanne Gearhart
• Haden Alexander Geiger, PHARM.D.
• Jodi Geis-Crowder, MS, LPC
• Patricia Genho
• Genoa Healthcare LLC
• Gentle Touch Dental South

• All providers in Cheyenne, WY
• Women's Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.