Individual provider Active NPI

Leslie Dawn Chitwood, FNP-BC

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1639549181
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55621 Issued in WY
Practice address
5000 Blackmore Rd
Casper, WY 82609-3345
Phone
(307) 233-6000
Fax
(307) 233-6089
NPI assigned
Sep 28, 2015
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 55621 WY Primary

Addresses

Primary practice location

5000 Blackmore Rd
Casper, WY 82609-3345

Mailing address

5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20151117002754 NC Practitioner - Nurse Practitioner 3072823350 Reassigns benefits to 1 organization
I20241211003792 WY Practitioner - Nurse Practitioner 3072823350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care United Medical Center of Laramie LLCGroup PAC ID 7719168491, 18 clinicians

Practice addresses (Care Compare)

2025 E 2ND St
Casper, WY 82609-2052
Phone (307) 309-5915

5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000

5647 US Hwy 26
Dubois, WY 82513-9607
Phone (307) 455-2516

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care United Medical Center of Laramie, LLC CurrentSince Mar 12, 2025 Accepting new patients
Community Health Center of Central Wyoming Inc CurrentSince Dec 23, 2024 Accepting new patients
Community Health Center of Central Wyoming, Inc. Current Accepting new patients
Greene County Health Care Incorporated Current Accepting new patients
Community Health Center of Central Wyoming Inc Past Accepting new patients
Community Health Center of Central Wyoming Inc Past Accepting new patients

Locations

140 School Dr
Snow Hill, NC 28580
Phone (252) 747-5841

205 Martin L King Jr Pkwy
Snow Hill, NC 28580
Phone (252) 747-4199

7 Professional Dr
Snow Hill, NC 28580
Phone (252) 747-2921

2025 E 2nd St
Casper, WY 82609
Phone (307) 309-5915

5000 Blackmore Rd
Casper, WY 82609
Phone (307) 233-6000

3810 E Grand Ave
Laramie, WY 82070
Phone (307) 721-1794

1035 Rose Ln
Riverton, WY 82501
Phone (307) 463-6300

Organizations & group practices 6

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1639549181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BLACKMORE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093345",
            "telephone_number": "307-233-6000",
            "fax_number": "307-233-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLACKMORE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093345",
            "telephone_number": "307-233-6000",
            "fax_number": "307-233-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITWOOD",
        "first_name": "LESLIE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "55621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.