NPIMap

Individual provider Active NPI

Courtney Spence, DO

  • Internal Medicine Physician
  • Cody, WY
National Provider Identifier
1518239391
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10305A Issued in WY
Practice address
424 Yellowstone Ave
Suite 230
Cody, WY 82414-9309
Phone
(307) 578-2975
NPI assigned
Feb 8, 2012
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10305A WY Primary
Hospitalist Physician 208M00000X 20A12564 CA

Addresses

Primary practice location

424 Yellowstone Ave
Suite 230
Cody, WY 82414-9309

Mailing address

424 Yellowstone Ave
Suite 230
Cody, WY 82414-9309
Phone (307) 578-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126001524 WY Practitioner - Internal Medicine 4688805328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

424 Yellowstone Ave
Cody, WY 82414-9309
Phone (307) 527-7501

424 Yellowstone Ave
Suite 120
Cody, WY 82414-9311
Phone (307) 578-2904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
72.82
Promoting interoperability
100
Improvement activities
40
Cost
63.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10305AWYMDInternal Medicine Physician
20A12564CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cody Regional Health EMS CurrentSince Nov 1, 2025 Accepting new patients
West Park Hospital District CurrentSince Jan 1, 2016 Accepting new patients
West Park Hospital District CurrentSince Jan 1, 2016 Accepting new patients
West Park Hospital District Past Accepting new patients

Locations

424 Yellowstone Ave
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

424 Yellowstone Ave
Ste 230
Cody, WY 82414
Phone (307) 578-2975

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 4

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1518239391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 230",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149309",
            "telephone_number": "307-578-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 230",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149309",
            "telephone_number": "307-578-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "COURTNEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "10305A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A12564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.