Individual provider Active NPI

Beth Keller, FNP-C

  • Family Nurse Practitioner
  • Torrington, WY
National Provider Identifier
1750934139
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44270 Issued in WY
Practice address
108 E 20TH Ave
Torrington, WY 82240-2812
Phone
(307) 269-0947
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 44270 WY Primary

Addresses

Primary practice location

108 E 20TH Ave
Torrington, WY 82240-2812

Mailing address

1315 Howe Rd
Laramie, WY 82070-6888

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203002413 WY Practitioner - Nurse Practitioner 0648603738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

150 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-5061

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44270WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs County Hospital District CurrentSince Sep 1, 2022 Accepting new patients
Hot Springs County Hospital District Current Accepting new patients
Cowboy Clinic and Urgent Care LLC Family CurrentSince Sep 7, 2019 Accepting new patients
Hot Springs County Hospital District CurrentSince Sep 1, 2022 Accepting new patients
Hot Springs County Hospital District Past Accepting new patients

Locations

2002 W Sunset Dr
Ste 2
Riverton, WY 82501
Phone (307) 856-7021

120 N C Ave
Thermopolis, WY 82443
Phone (307) 864-5534

150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121

108 E 20th Ave
Torrington, WY 82240
Phone (307) 269-0947

1125 Charles Ave
Worland, WY 82401
Phone (307) 347-2449

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1750934139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 HOWE RD",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820706888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 20TH AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822402812",
            "telephone_number": "307-269-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "44270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, WY

Sources for this page

Verify at the official NPI Registry.