Individual provider Active NPI

Nichola Antoinette Patton, DNP, MBA, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1487212304
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53749 Issued in WY
Practice address
1309 Coffeen Ave Ste 12846
Sheridan, WY 82801-5777
Phone
(888) 603-8008
Fax
(866) 782-6597
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 432981 NY
Nurse Practitioner 363L00000X AC005119 MD
Nurse Practitioner 363L00000X 309091 AZ
Nurse Practitioner 363L00000X 5161577 ID
Nurse Practitioner 363L00000X 200630 ND
Acute Care Nurse Practitioner 363LA2100X 101.0136900 VT
Nurse Practitioner 363L00000X 3383482112 KS
Nurse Practitioner 363L00000X 2530 FL
Nurse Practitioner 363L00000X 0024190991 VA
Nurse Practitioner 363L00000X 80129 NM
Nurse Practitioner 363L00000X H181233 IA
Nurse Practitioner 363L00000X 5017749 NC
Acute Care Nurse Practitioner 363LA2100X 53749 WY Primary
Nurse Practitioner 363L00000X 010174C CO
Nurse Practitioner 363L00000X 14082107-4405 UT

Addresses

Primary practice location

1309 Coffeen Ave Ste 12846
Sheridan, WY 82801-5777

Mailing address

1309 Coffeen Ave Ste 12846
Sheridan, WY 82801-5777
Phone (888) 603-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC, NC, WY, NY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200124001853 GA Practitioner - Nurse Practitioner 8820423601 Reassigns benefits to 1 organization
I20200415000414 DC Practitioner - Nurse Practitioner 8820423601
I20230329000843 NC Practitioner - Nurse Practitioner 8820423601 Reassigns benefits to 1 organization
I20250721002344 WY Practitioner - Nurse Practitioner 8820423601 Reassigns benefits to 1 organization
I20251022003124 NY Practitioner - Nurse Practitioner 8820423601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1309 Coffeen Ave
Suite 12846
Sheridan, WY 82801-5701

1309 Coffeen Ave
Suite 12846
Sheridan, WY 82801-5777

Suite 12846
Sheridan, WY 82801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309091AZMDNurse Practitioner
010174CCOMDNurse Practitioner
2530FLMDNurse Practitioner
H181233IAMDNurse Practitioner
5161577IDMDNurse Practitioner
3383482112KSMDNurse Practitioner
AC005119MDMDNurse Practitioner
200630NDMDNurse Practitioner
80129NMMDNurse Practitioner
432981NYMDNurse Practitioner
14082107-4405UTMDNurse Practitioner
0024190991VAMDNurse Practitioner
101.0136900VTMDAcute Care Nurse Practitioner
53749WYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Healthcare, LLC Nurse Practitioner CurrentSince May 31, 2025 Accepting new patients
Villagehealth DM LLC CurrentSince Nov 14, 2021 Accepting new patients
Scholar Medical Group MD LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

2870 Peachtree Rd NW
Atlanta, GA 30305
Phone (404) 410-0224

50 Glenlake Pkwy
Ste 550
Sandy Springs, GA 30328
Phone (303) 405-2100

699 Walnut St
Ste 400
Des Moines, IA 50309
Phone (515) 441-7944

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033

10530 Campus Way S
Upper Marlboro, MD 20774
Phone (240) 305-5298

2321 W Morehead St
Ste 102
Charlotte, NC 28208
Phone (704) 333-5535

218 1st Ave S
#1015
Jamestown, ND 58401

6001 Menaul Blvd NE
#1174
Albuquerque, NM 87110

6001 Menaul Blvd NE
#1177
Albuquerque, NM 87110

1178 Broadway
Fl 3
New York, NY 10001
Phone (201) 497-4377

13894 S Bangerter Pkwy
Draper, UT 84020
Phone (801) 435-8088

1309 Coffeen Ave
Ste 12846
Sheridan, WY 82801
Phone (888) 603-8008

1309 Coffeen Ave
Sheridan, WY 82801
Phone (307) 461-5618

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1487212304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 12846",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "888-603-8008",
            "fax_number": "866-782-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 12846",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "888-603-8008",
            "fax_number": "866-782-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "NICHOLA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "DNP, MBA, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "432981",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC005119",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "309091",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "5161577",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "200630",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VT",
            "license": "101.0136900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "3383482112",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2530",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024190991",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "80129",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H181233",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017749",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WY",
            "license": "53749",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "010174C",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "14082107-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.