NPIMap

Individual provider Active NPI

Kenda Michelle Huseby, DNP, NP-C

  • Family Nurse Practitioner
  • Sundance, WY
National Provider Identifier
1639501844
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SD-CNP CP000804 Issued in SD
Practice address
713 E Oak St
Sundance, WY 82729-5172
Phone
(307) 283-3501
NPI assigned
Jul 30, 2013
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SD-CNP CP000804 SD Primary
Family Nurse Practitioner 363LF0000X 1381 WY

Addresses

Primary practice location

713 E Oak St
Sundance, WY 82729-5172

Mailing address

713 E Oak St
Sundance, WY 82729-5172
Phone (307) 283-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140326002290 SD Practitioner - Nurse Practitioner 2769613280 Reassigns benefits to 1 organization
I20150604001355 WY Practitioner - Nurse Practitioner 2769613280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

713 E Oak St
Sundance, WY 82729-5172
Phone 3072833501173

713 Oak St
Sundance, WY 82729

PO Box
Suite 517
Sundance, WY 82729

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1381WYMDMental Health Counselor
SD-CNP CP000804SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crook County Medical Services District CurrentSince Mar 5, 2015 Accepting new patients
Crook County Public Health Past Accepting new patients

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1639501844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E OAK ST",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827295172",
            "telephone_number": "307-283-3501",
            "fax_number": "307-283-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E OAK ST",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827295172",
            "telephone_number": "307-283-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEBY",
        "first_name": "KENDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "SD-CNP CP000804",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sundance, WY

Sources for this page

Verify at the official NPI Registry.