Individual provider Active NPI

Kimberly Denningmann, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laramie, WY
National Provider Identifier
1609565845
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
44417 Issued in WY
Practice address
3116 Willett Dr
Laramie, WY 82072-5048
Phone
(307) 755-4540
Fax
(307) 755-4539
NPI assigned
May 3, 2023
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 44417 WY Primary
Registered Nurse 163W00000X 44417 WY

Addresses

Primary practice location

3116 Willett Dr
Laramie, WY 82072-5048

Mailing address

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 755-4540

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
I20240813001823 WY Practitioner - Nurse Practitioner 1052859758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of WyomingGroup PAC ID 4183607054, 40 clinicians
Ivinson Memorial HospitalGroup PAC ID 8325304447, 61 clinicians

Practice addresses (Care Compare)

2710 Harney St
Suite 202 204
Laramie, WY 82072-3038
Phone (307) 431-5055

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-6319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44417WYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Oct 13, 2025 Accepting new patients
University of Wyoming Speech and Hearing Clinic CurrentSince Aug 1, 2024 Accepting new patients
Ivinson Memorial Hospital CurrentSince Oct 13, 2025 Accepting new patients
University of Wyoming CurrentSince Aug 1, 2024 Accepting new patients
University of Wyoming Current Accepting new patients

Locations

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

2710 Harney St
Ste 202
Laramie, WY 82072
Phone (307) 742-3242

2710 Harney St
Ste 202204
Laramie, WY 82072
Phone (307) 431-5055

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1609565845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 WILLETT DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725048",
            "telephone_number": "307-755-4540",
            "fax_number": "307-755-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 WILLETT DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725048",
            "telephone_number": "307-755-4540",
            "fax_number": "307-755-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNINGMANN",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "44417",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "44417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.