Gregory Allen Shuttleworth, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

50095 Issued in WY

Practice address

2025 E 2ND St
Casper, WY 82609-2052

Phone

(307) 514-9888

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, MT, WA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care United Medical Center of Laramie LLCGroup PAC ID 7719168491, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Care United Medical Center of Laramie, LLC

  • Multi-Specialty Clinic/Center
  • Laramie, WY
  • NPI 1063720605
  Medicare reassignment Care Compare group NPD
• Peak Health & Wellness, LLC

  • Urgent Care Clinic/Center
  • Belgrade, MT
  • NPI 1073669461
  Medicare reassignment NPD
• Physicians Immediate Care & Medical Centers, P.S.

  • Family Medicine Physician
  • Richland, WA
  • NPI 1821002510
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1811621741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092052",
            "telephone_number": "307-514-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTTLEWORTH",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "50095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla J Shriver, MS CCC/SLP
• William R Shughart, PA-C
• Kathleen Amy Shumway, CSW
• Philip Shupe, LCSW
• Zully Soledad Shupe, LCSW
• Dede L Sievers
• Karlynn D. Sievers, MD
• Signature Dental LLC
• Eric H Siiteri, PH.D
• Juana Bascus Simental

• Family Nurse Practitioner in Casper, WY
• Providers in Casper, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.