Individual provider Active NPI

Carene Emmett Weinand

  • Family Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1407514573
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
48952 Issued in WY
Practice address
1013 E Boxelder Rd Ste 200
Gillette, WY 82718-5941
Phone
(307) 257-7620
Fax
(307) 257-7618
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 48952 WY Primary

Addresses

Primary practice location

1013 E Boxelder Rd Ste 200
Gillette, WY 82718-5941

Mailing address

50 Stafford BND
Gillette, WY 82718-5469
Phone (307) 689-0092

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
I20220201001061 WY Practitioner - Nurse Practitioner 7911390695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Converse CountyGroup PAC ID 2264340843, shared by 5 NPIs, 77 clinicians

Practice addresses (Care Compare)

111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122

1401 W 4TH St
Gillette, WY 82716-3327
Phone (307) 359-3562

700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Converse County Current Accepting new patients
Memorial Hospital of Converse County CurrentSince Sep 1, 2022 Accepting new patients

Locations

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

700 E Center St
Douglas, WY 82633
Phone (307) 358-7300

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1407514573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STAFFORD BND",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185469",
            "telephone_number": "307-689-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E BOXELDER RD STE 200",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185941",
            "telephone_number": "307-257-7620",
            "fax_number": "307-257-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINAND",
        "first_name": "CARENE",
        "middle_name": "EMMETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "48952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.