Individual provider Active NPI

Kristi D Roybal, FNP-C

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1790160679
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18136-1414 Issued in WY
Practice address
2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Phone
(307) 635-3500
Fax
(307) 635-2199
NPI assigned
Jul 21, 2015
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 18136-1414 WY Primary

Addresses

Primary practice location

2030 Bluegrass Cir
Cheyenne, WY 82009-7328

Mailing address

2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Phone (307) 635-3500

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
I20160121001317 WY Practitioner - Nurse Practitioner 7315240587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carol a Fischer MD PCGroup PAC ID 4981503059, 4 clinicians

Practice addresses (Care Compare)

1331 Prairie Ave
Suite 2
Cheyenne, WY 82009-4867
Phone (307) 778-3121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1414WYMDGeneral Practice Dentistry
18136-1414WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
College Drive Urgent Care LLC CurrentSince Sep 13, 2024 Accepting new patients
Carol a Fischer MD PC CurrentSince Mar 1, 2022 Accepting new patients
Medi Horizons Inc PastSince Oct 6, 2024 Accepting new patients
Pain Treatment Center of Wyoming, LLC Past Accepting new patients

Locations

2145 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 498-4058

2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500

4136 Laramie St
Unit A
Cheyenne, WY 82001
Phone (307) 633-8100

Interoperability endpoints

  • Direct secure messaging: kristi.roybal@781349188009988.direct.elationemr.com

Organizations & group practices 4

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 2

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1790160679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097328",
            "telephone_number": "307-635-3500",
            "fax_number": "307-635-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097328",
            "telephone_number": "307-635-3500",
            "fax_number": "307-635-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYBAL",
        "first_name": "KRISTI",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "18136-1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.