Portercare Adventist Health System
Organization Active NPI Orthopaedic Surgery Physician · Cheyenne, WY
NPI 1497498653 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1497498653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 4028 Laramie St
Cheyenne, WY 82001-2064 - Phone
- (720) 524-1367
- Fax
- (720) 524-1422
- NPI assigned
- Apr 15, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 11
Practitioners 770
-
Brooke Garcia, PA
-
Nathalie Abisror, MD
-
Clayton W Adams, M.D.
-
Richard Adamson, FNP
-
Douglas Graham Adler, M.D.
-
John D Aikin Jr., MD
-
Maher Abdulla Alami, M.D.
-
Amanda Christine Alba, CNM, WHNP-BC
-
Ann Marie Albright, FNP-C
-
Irfan J Ali, D.O.
-
Carrie A Allen, P.A.
-
Gary S. Allen, M.D.
-
Luis Gregorio Allen, M.D.
-
Randall Zain Allison, M.D.
-
Jordyn Almeida, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Littleton |
Hospital | 5% Or Greater Direct Ownership Interest (32%) | Nov 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220629000205 | WY | Part B Supplier - Clinic/Group Practice | 0941110886 |
Receives reassigned benefits from 3 practitioners Practice locations: Cheyenne, WY |
National Provider Directory
Locations
4028 Laramie St
Cheyenne, WY 82001
Phone (307) 635-2562
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
4028 Laramie St
Cheyenne, WY 82001-2064
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names
- AdventHealth Medical Group Colorado Joint Replacement at Cheyenne
Other providers in Cheyenne, WY
- Judith Porter
- Lisa Porter
- Virginia Lee Porter
- William Porter
- Portercare Adventist Health System
- Melissa Nellie Posluszny
- Daniel R. Possehn
- Gerald Joseph Post
- Isaiah Postenrieder
- Poudre Valley Medical Group, LLC
All providers in Cheyenne, WY · Orthopaedic Surgery Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.