Active NPI
Jason Harrison Caswell, M.D.
- Family Medicine Physician
- Cheyenne, WY
National Provider Identifier
1376773994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11719A
- Practice address
- 3229 E Pershing Blvd
Cheyenne, WY 82001-5769 - Phone
- (307) 363-2054
- Fax
- (307) 227-6817
- NPI assigned
- Jul 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01071769A | IN | |
| Family Medicine Physician | 207Q00000X | 11719A | WY | Primary |
Addresses
Primary practice location
3229 E Pershing Blvd
Cheyenne, WY 82001-5769
Mailing address
3229 E Pershing Blvd
Cheyenne, WY 82001-5769
Phone (307) 363-2054
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: Yes
- Opted out of Medicare
- Yes, effective Apr 11, 2022 through Apr 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01071769A | IN | MD | Family Medicine Physician |
| 11719A | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Drive Urgent Care LLC | Current | Accepting new patients |
Locations
2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Cheyenne, WY
- NPI 1467601765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1376773994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3229 E PERSHING BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015769",
"telephone_number": "307-363-2054",
"fax_number": "307-227-6817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3229 E PERSHING BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015769",
"telephone_number": "307-363-2054",
"fax_number": "307-227-6817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASWELL",
"first_name": "JASON",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01071769A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "11719A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.