Colby Butler, APRN, NP-C – Nurse Practitioner

Key facts

NPI: 1437401494
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 24970.1206 (WY)
Practice address: 1458 W 5TH St
Sheridan, WY 82801-2706
Phone: (307) 763-4556
Fax: (307) 215-8393
NPI assigned: Oct 15, 2012
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Brandon Kelley D.C. P.C. Sports Physician Chiropractor · Sheridan, WY · NPI 1831675479

Medicare reassignment Care Compare group NPD WY
Wyoming Otolaryngology, P.C. Hearing Instrument Specialist · Casper, WY · NPI 1568290161

NPD

Hospital & facility affiliations 1

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

Memorial Hospital of Sheridan County General Acute Care Hospital · Sheridan, WY · NPI 1487707188

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2012
Medicare assignment: May accept Medicare assignment
Group practices: Brandon Kelley DC PC (2 clinicians)

Practice addresses (Care Compare)

1156 N Main St
Sheridan, WY 82801-3055
Phone (307) 763-4556

Hospital & facility affiliations

Sheridan Memorial Hospital Hospital · Sheridan, WY · CCN 530006

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140130001914	WY	Practitioner - Nurse Practitioner	8325277932	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
24970.1206	WY	MD	Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Brandon Kelley D.C. P.C.		Current since Sep 1, 2022	Accepting new patients
Wyoming Otolaryngology, P.C.		Current since Jul 28, 2024	Accepting new patients

Locations

2210 King Blvd
Casper, WY 82604
Phone (307) 577-4240

1156 N Main St
Sheridan, WY 82801
Phone (307) 672-3457

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	24970.1206	WY	Yes

Addresses

Primary practice location

1458 W 5TH St
Sheridan, WY 82801-2706

Mailing address

1458 W 5TH St
Sheridan, WY 82801-2706
Phone (307) 763-4556

Other providers in Sheridan, WY

All providers in Sheridan, WY · Nurse Practitioner in Wyoming

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. 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.

Verify at the official NPI Registry.