College Drive Urgent Care LLC
Organization Active NPI Urgent Care Clinic/Center · Cheyenne, WY
NPI 1467601765 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1467601765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- COLLEGE DRIVE URGENT CARE LLC
- Practice address
- 2030 Bluegrass Cir
Cheyenne, WY 82009-7328 - Phone
- (307) 635-3500
- Fax
- (307) 635-2199
- NPI assigned
- Sep 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Chris M Kane
- Title
- Authorized Official
- Phone
- (888) 705-8558
Practitioners 72
-
Chere A Bohr, APRN FNP-C
-
Samantha Nicole Newton, APRN
-
Tiffany A Barnett, FNP-C
-
Marsha Kaye Siegel, EDD, FNP-C
-
Dianne Briscoe, PA-C
-
Teri Novosel, PA-C
-
Danielle Nicole Pinckney, PA-C
-
Kelsie Anderson, DNP, FNP-BC
-
Lori Carlson, FNPC
-
Daoreuang Deedey Kidney, FNP-C
-
Lauren Carroll Munsell, DNP, FNP-C
-
Kristi D Roybal, FNP-C
-
Kristi Williams, FNP-C
-
Jennifer L Allison, FNP
-
Maggie S Champion, MSN, FNP-BC
-
Paul Thrasher Denna, M.D.
-
Christine Glowacki, FNP BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090113000850 | WY | Part B Supplier - Clinic/Group Practice | 1456414788 |
Receives reassigned benefits from 39 practitioners Practice locations: Cheyenne, WY |
National Provider Directory
Locations
2145 E Baseline Rd
Ste 303
Tempe, AZ 85283
4136 Laramie St
Unit B
Cheyenne, WY 82001
Phone (307) 637-2800
4140 Laramie St
#A
Cheyenne, WY 82001
Phone (307) 637-2800
2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Mailing address
2145 E Baseline Rd Ste 303
Tempe, AZ 85283-1515
Phone (888) 705-8558
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314338 | Other | WY | BSWY |
| 314333 | Other | WY | BLUE CROSS BLUE SHIELD |
| 315527 | Other | WY | BSWY |
| 314332 | Other | WY | BLUE CROSS BLUE SHIELD |
Other providers in Cheyenne, WY
- Jessica Sheri Anna Louise Colehour
- Matthew Chase Coleman
- Mona Coler
- Carmela Denise Coles
- Collaborative Connections
- Haley Erin Colley
- Xana Collinsworth
- Lucinda Marie Combs
- Deanna Comer
- Comfort Counseling and Case Management LLC
All providers in Cheyenne, WY · Urgent Care Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.