Cheryl Lynn Fallin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

6905A Issued in WY

Practice address

115 Wyoming St
Lander, WY 82520-3919

Phone

(307) 332-2185

Fax

(307) 332-7799

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Health Center of Central Wyoming, Inc.

  • Federally Qualified Health Center (FQHC)
  • Casper, WY
  • NPI 1447480561

  WY

  Medicare reassignment NPD
• Community Health Center of Central Wyoming Inc

  • Federally Qualified Health Center (FQHC)
  • Riverton, WY
  • NPI 1275810160
  NPD
• Community Health Center of Central Wyoming Inc

  • Federally Qualified Health Center (FQHC)
  • Lander, WY
  • NPI 1205308855
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1720189368",
    "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": "115 WYOMING ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203919",
            "telephone_number": "307-332-2185",
            "fax_number": "307-332-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLIN",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "6905A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504824210005",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118441500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah S Ellsworth, MS, OTR/L
• Joy Lynn Erickson
• Christopher Harold Erschen, PA-C
• Donna Karen Estep, RN, BSN, CDE
• Julia Fairbank, P.A.
• Margie Farias, NCTMB, CST
• Kelley Farley, DPT
• Anna Felton, DNP
• Catherine L. Fessler
• Ryan Gregory Firth, MD

• Pediatrics Physician in Lander, WY
• Providers in Lander, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.

Verify at the official NPI Registry.