Individual provider Active NPI

Kerri Lee Dewine, FNP-C

  • Family Medicine Physician
  • Gillette, WY
National Provider Identifier
1801779822
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57203 Issued in WY
Practice address
51 Town Center Dr Ste 110
Gillette, WY 82718-5521
Phone
(307) 682-9962
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57203 WY Primary

Addresses

Primary practice location

51 Town Center Dr Ste 110
Gillette, WY 82718-5521

Mailing address

51 Town Center Dr Ste 110
Gillette, WY 82718-5521
Phone (307) 660-9037

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
I20251103002149 WY Practitioner - Nurse Practitioner 0042700635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming Medical Associates LLCGroup PAC ID 2769802552, 12 clinicians

Practice addresses (Care Compare)

51 Town Ctr Dr
Suite 120
Gillette, WY 82718-5521
Phone (307) 682-9962

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57203WYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Medical Associates, LLC CurrentSince Oct 1, 2025 Accepting new patients
Wyoming Medical Associates, LLC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

1013 E Boxelder Rd
Ste 210
Gillette, WY 82718
Phone (307) 363-4133

51 Town Center Dr
Ste 120
Gillette, WY 82718
Phone (307) 682-9962

Organizations & group practices 2

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1801779822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 TOWN CENTER DR STE 110",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185521",
            "telephone_number": "307-660-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 TOWN CENTER DR STE 110",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185521",
            "telephone_number": "307-682-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWINE",
        "first_name": "KERRI",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "57203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.