Individual provider Active NPI

Jennifer Elizabeth Davis, FNP-C

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1447572136
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20951.1029 Issued in WY
Practice address
2120 Logan Ave
Cheyenne, WY 82001-4131
Phone
(307) 426-4916
Fax
(877) 585-7008
NPI assigned
Feb 22, 2010
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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 20951.1029 WY Primary

Addresses

Primary practice location

2120 Logan Ave
Cheyenne, WY 82001-4131

Mailing address

2120 Logan Ave
Cheyenne, WY 82001-4131
Phone (307) 426-4916

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
I20100324001231 WY Practitioner - Nurse Practitioner 7214063643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1202 Cleveland Ave
Cheyenne, WY 82001-6700
Phone (307) 214-4537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1029WYMDPhysical Therapist
20951.1029WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genuine Care Healthcare Systems LLC CurrentSince Jul 23, 2022 Accepting new patients

Locations

1202 Cleveland Ave
Cheyenne, WY 82001
Phone (307) 632-1657

1202 Cleveland Ave
Ste 1
Cheyenne, WY 82001
Phone (307) 426-4916

2120 Logan Ave
Cheyenne, WY 82001
Phone (307) 638-8071

Interoperability endpoints

  • Direct secure messaging: jdavis@gchsl-wy.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1447572136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LOGAN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014131",
            "telephone_number": "307-426-4916",
            "fax_number": "877-585-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LOGAN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014131",
            "telephone_number": "307-426-4916",
            "fax_number": "877-585-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "20951.1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.