Individual provider Active NPI

Ashley Oviedo-Lopez, FNP-BC

  • Family Nurse Practitioner
  • Glenrock, WY
National Provider Identifier
1841797461
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45376 Issued in WY
Practice address
925 W Birch St
Glenrock, WY 82637-5079
Phone
(307) 436-9206
NPI assigned
Apr 10, 2018
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11695 AZ
Family Nurse Practitioner 363LF0000X 45376 WY Primary
Emergency Registered Nurse 163WE0003X RN179107 AZ

Addresses

Primary practice location

925 W Birch St
Glenrock, WY 82637-5079

Mailing address

925 W Birch St
Glenrock, WY 82637-5079

Other practice location 1

807 S Ponderosa St
Payson, AZ 85541-5542
Phone (928) 471-1341

Other practice location 2

107 E Lone Pine Dr
Payson, AZ 85541
Phone (928) 474-6896

Other practice location 3

3800 S Alma School Rd Ste 112
Chandler, AZ 85248-4499
Phone (602) 900-9466

Other practice location 4

5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000

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
I20200618000442 WY Practitioner - Nurse Practitioner 1456699446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenrock Hospital DistrictGroup PAC ID 8527976828, 5 clinicians

Practice addresses (Care Compare)

5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000

5647 US Hwy 26
Dubois, WY 82513-9607
Phone (307) 455-2516

925 W Birch St
Glenrock, WY 82637-5079
Phone (307) 436-9206

PO Box
Suite 786
Glenrock, WY 82637-0786

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN179107AZMDEmergency Registered Nurse
AP11695AZMDFamily Nurse Practitioner
45376WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glenrock Hospital District CurrentSince May 1, 2020 Accepting new patients
Community Health Center of Central Wyoming Inc CurrentSince Feb 1, 2024 Accepting new patients
Memorial Hospital of Converse County CurrentSince Apr 28, 2024 Accepting new patients
Glenrock Hospital District CurrentSince May 1, 2020 Accepting new patients
Community Health Center of Central Wyoming, Inc. Current Accepting new patients

Locations

5000 Blackmore Rd
Casper, WY 82609
Phone (307) 233-6000

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

700 E Center St
Douglas, WY 82633
Phone (307) 358-7300

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, 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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1841797461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W BIRCH ST",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826375079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W BIRCH ST",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826375079",
            "telephone_number": "307-436-9206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 S Ponderosa St",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415542",
            "country_code": "US",
            "telephone_number": "928-471-1341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 E Lone Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "85541",
            "country_code": "US",
            "telephone_number": "928-474-6896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S Alma School Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852484499",
            "country_code": "US",
            "telephone_number": "602-900-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Blackmore Rd",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826093345",
            "country_code": "US",
            "telephone_number": "307-233-6000",
            "fax_number": "307-233-6089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVIEDO-LOPEZ",
        "first_name": "ASHLEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11695",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "45376",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN179107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenrock, WY

Sources for this page

Verify at the official NPI Registry.