Active NPI
Nathan C Schafer, M.D.
- Emergency Medicine Physician
- Evanston, WY
National Provider Identifier
1699764050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5930A
- Practice address
- Wyoming State Hospital
Highway 150 South
Evanston, WY 82930-9266 - Phone
- (307) 789-3464
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5930A | WY | Primary |
Addresses
Primary practice location
Wyoming State Hospital
Highway 150 South
Evanston, WY 82930-9266
Mailing address
186 Wilderness PT
Evanston, WY 82930-4632
Phone (307) 789-5607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140724000748 | CA | Order and Referring Only - Emergency Medicine | 9830162718 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Wyoming | Past | Accepting new patients | |
| Redmond Immediate Health Care LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Evanston, WY
- NPI 1316011562
-
- Urgent Care Clinic/Center
- Redmond, OR
- NPI 1437187614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699764050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 WILDERNESS PT",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829304632",
"telephone_number": "307-789-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WYOMING STATE HOSPITAL",
"address_2": "HIGHWAY 150 SOUTH",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309266",
"telephone_number": "307-789-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "NATHAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WY",
"license": "5930A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.