Active NPI
Healthywise Medical LLC
- Family Medicine Physician
- Cheyenne, WY
National Provider Identifier
1730977240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTHYWISE MEDICAL LLC
- Practice address
- 1401 Airport Pkwy Ste 100
Cheyenne, WY 82001-1522 - Phone
- (900) 000-0009
- NPI assigned
- Apr 26, 2025
- Last updated
- Sep 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Ann Bregquist, MD
- Title
- Owner
- Phone
- (307) 800-7006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1401 Airport Pkwy Ste 100
Cheyenne, WY 82001-1522
Mailing address
1740 Dell Range Blvd # H291
Cheyenne, WY 82009-4961
Phone (307) 800-7006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1740 Dell Range Blvd
#H291
Cheyenne, WY 82009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Cheyenne, WY
- NPI 1336290683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757462400000",
"number": "1730977240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 DELL RANGE BLVD # H291",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094961",
"telephone_number": "307-800-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 AIRPORT PKWY STE 100",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011522",
"telephone_number": "900-000-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHYWISE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-26",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A",
"authorized_official_last_name": "BREGQUIST",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-800-7006",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.