Individual provider Active NPI

Daniel L. Peterson, DPM

  • Podiatrist
  • Sheridan, WY
National Provider Identifier
1437536786
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
171 Issued in WY
Practice address
1050 Mydland Rd
Sheridan, WY 82801-2186
Phone
(307) 674-7469
Fax
(307) 674-4619
NPI assigned
May 6, 2015
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 171 WY Primary

Addresses

Primary practice location

1050 Mydland Rd
Sheridan, WY 82801-2186

Mailing address

1050 Mydland Rd
Sheridan, WY 82801-2186
Phone (307) 674-7469

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207002348 WY Practitioner - Podiatry 0648576447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Orthopaedic Associates P CGroup PAC ID 0941282453, 6 clinicians
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Practice addresses (Care Compare)

1050 Mydland Rd
Sheridan, WY 82801-2186
Phone (307) 674-7469

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

1524 W 5TH St
Sheridan, WY 82801-2707
Phone (307) 672-7874

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision25
Removal of tissue17
Removal of skin lesions72
Removal of nail tissue184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
171WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Orthopaedic Associates, P C CurrentSince Nov 2, 2023 Accepting new patients
Big Horn Health Network CurrentSince Oct 1, 2025 Accepting new patients
Sheridan Memorial Sameday Health & Imaging Urgent Care PastSince May 8, 2022 Accepting new patients

Locations

1050 Mydland Rd
Sheridan, WY 82801
Phone (307) 673-1813

1333 W 5th St
Ste 110
Sheridan, WY 82801
Phone (307) 675-4610

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

Interoperability endpoints

  • Direct secure messaging: dpeterson276423@ahs.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/

Organizations & group practices 3

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 2

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1437536786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MYDLAND RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012186",
            "telephone_number": "307-674-7469",
            "fax_number": "307-674-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MYDLAND RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012186",
            "telephone_number": "307-674-7469",
            "fax_number": "307-674-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DANIEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WY",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.