NPIMap

Individual provider Active NPI

Stephanie Ann Bennington, DO

  • Psychiatry Physician
  • Gillette, WY
National Provider Identifier
1619453040
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17508A Issued in WY
Practice address
201 W Lakeway Rd Ste 700
Gillette, WY 82718-6346
Phone
(307) 387-9850
Fax
(307) 387-9890
NPI assigned
Jul 18, 2018
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8352 NE
Psychiatry Physician 2084P0800X 036167028 IL
Psychiatry Physician 2084P0800X 17508A WY Primary

Addresses

Primary practice location

201 W Lakeway Rd Ste 700
Gillette, WY 82718-6346

Mailing address

201 W Lakeway Rd Ste 1004
Gillette, WY 82718-6349
Phone (307) 387-9850

Other names 1

  • Stephanie Ann Savala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, WY, SD, NE5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20231025001422 IL Practitioner - Psychiatry 8426300872 Reassigns benefits to 3 organizations
I20231103000739 WI Practitioner - Psychiatry 8426300872 Reassigns benefits to 3 organizations
I20241003001978 WY Practitioner - Psychiatry 8426300872 Reassigns benefits to 1 organization
I20251106001897 SD Practitioner - Psychiatry 8426300872 Reassigns benefits to 1 organization
I20251229001901 NE Practitioner - Psychiatry 8426300872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

915 Mountain View Rd
Rapid City, SD 57702-3414
Phone (605) 755-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2534NEMDMental Health Counselor
8352NEMDFamily Psychologist
17508AWYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Sep 30, 2024 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Sep 24, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Nov 8, 2023 Accepting new patients
Hoskinson Health & Wellness Clinic LLC Current Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Oct 1, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 1, 2024 Accepting new patients
CGH Medical Center CurrentSince May 1, 2024 Accepting new patients
Chadron Community Hospital Corp. CurrentSince Nov 1, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Feb 27, 2024 Accepting new patients
SSM Health Care of Wisconsin Inc CurrentSince Sep 24, 2023 Accepting new patients
Agnesian Healthcare Inc CurrentSince Nov 8, 2023 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 1, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Feb 27, 2024 Accepting new patients
CGH Medical Center CurrentSince May 1, 2024 Accepting new patients
Northpoint Nebraska LLC PastSince Apr 1, 2023 Accepting new patients
Aspen Valley Hospital District Clinics Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7153 Solutions Ctr
Chicago, IL 60677

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

915 Mountain View Rd
Rapid City, SD 57702
Phone (605) 719-1000

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111

2009 5th St
Monroe, WI 53566
Phone (608) 324-1454

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581

201 W Lakeway Rd
Ste 1004
Gillette, WY 82718
Phone (307) 387-9850

201 W Lakeway Rd
Ste 700
Gillette, WY 82718
Phone (307) 387-9850

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.benningtondo.p1@direct.cfg.nextgenshare.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1619453040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD STE 1004",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186349",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD STE 700",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186346",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGTON",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "8352",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036167028",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "17508A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SAVALA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.