Individual provider Active NPI

Wendy J Wood Neeson, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1699827766
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
194720369 Issued in WY
Practice address
1156 N Main St
Sheridan, WY 82801-3055
Phone
(307) 751-0645
NPI assigned
Jan 17, 2007
Last updated
Mar 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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 194720369 WY Primary

Addresses

Primary practice location

1156 N Main St
Sheridan, WY 82801-3055

Mailing address

1333 W 5TH St .
Suite 103
Sheridan, WY 82801-2752
Phone (307) 672-8921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, 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
I20080103000044 MT Practitioner - Nurse Practitioner 7517047749 Reassigns benefits to 1 organization
I20080415000061 WY Practitioner - Nurse Practitioner 7517047749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1156 N Main St
Suite B
Sheridan, WY 82801-3055
Phone (307) 763-4555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194720369WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Horn Hospital Association CurrentSince Nov 30, 2007 Accepting new patients
Crossroads Health LLC CurrentSince Mar 5, 2018 Accepting new patients
Big Horn Hospital Association CurrentSince Nov 30, 2007 Accepting new patients

Locations

17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310

1156 N Main St
Sheridan, WY 82801
Phone (307) 672-3457

1156 N Main St
#B
Sheridan, WY 82801
Phone (307) 763-4555

1842 Sugarland Dr
Ste 103
Sheridan, WY 82801
Phone (307) 673-4960

Organizations & group practices 3

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 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1699827766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST .",
            "address_2": "SUITE 103",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-672-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 N MAIN ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013055",
            "telephone_number": "307-751-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD NEESON",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "194720369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.