Individual provider Active NPI

Cathie Gantner Overmyer, M.D.

  • Internal Medicine Physician
  • Jackson, WY
National Provider Identifier
1760437263
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16939A Issued in WY
Practice address
555 E Broadway Ave Ste 201
Jackson, WY 83001-8640
Phone
(307) 733-7222
Fax
(307) 739-4828
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16939A WY Primary
Internal Medicine Physician 207R00000X 036083495 IL

Addresses

Primary practice location

555 E Broadway Ave Ste 201
Jackson, WY 83001-8640

Mailing address

PO Box 428
Jackson, WY 83001-0428
Phone (307) 733-3636

Other practice location 1

625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-3636

Other names 1

  • Cathie Gantner-Overmyer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address covermyer@sjmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101118001402 IL Practitioner - Internal Medicine 3678769403 Reassigns benefits to 4 organizations
I20240909002310 WY Practitioner - Internal Medicine 3678769403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians

Practice addresses (Care Compare)

555 E Broadway Ave
Jackson, WY 83001-8640

625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-3636

Hospital & facility affiliations

  • St John'S Home Care Home health agency, Jackson, WY, CCN 537063
  • St Johns Medical Center Hospital, Jackson, WY, CCN 530015
  • Star Valley Medical Center Hospital, Afton, WY, CCN 531313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16939AWYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Oak Park Physicians Group Center for Diabetes and Endocrine CurrentSince Apr 1, 2013 Accepting new patients
Rush Oak Park Physicians Group Adult Medicine Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Teton County Hospital District CurrentSince Sep 4, 2024 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Mar 23, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700

75 Remittance Dr
Dept 1611
Chicago, IL 60675

75 Remittance Dr
Dept 1620
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Chicago, IL 60675

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

610 S Maple Ave
Ste 5900
Oak Park, IL 60304
Phone (708) 358-1612

520 S Maple Ave
Fl 3
Oak Park, IL 60304
Phone (708) 660-5900

520 S Maple Ave
#3E
Oak Park, IL 60304

Interoperability endpoints

  • Direct secure messaging: cgantnerovermyer58218@direct.rush.rush-health.com

Organizations & group practices 7

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 3

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1760437263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010428",
            "telephone_number": "307-733-3636",
            "fax_number": "877-205-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BROADWAY AVE STE 201",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018640",
            "telephone_number": "307-733-7222",
            "fax_number": "307-739-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018642",
            "country_code": "US",
            "telephone_number": "307-733-3636",
            "fax_number": "877-205-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERMYER",
        "first_name": "CATHIE",
        "middle_name": "GANTNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "16939A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "covermyer@sjmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "555 E Broadway Ave Ste 201",
            "city": "Jackson",
            "state": "WY",
            "country_code": "US",
            "postal_code": "830018640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATHIE",
            "last_name": "GANTNER-OVERMYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, WY

Sources for this page

Verify at the official NPI Registry.