NPIMap

Individual provider Active NPI

Marie C Gempis, DO

  • Family Medicine Physician
  • Laramie, WY
National Provider Identifier
1861450116
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
965 Issued in NV
Practice address
204 McCollum St
Suite 102
Laramie, WY 82070-5103
Phone
(307) 460-9497
Fax
(307) 460-9498
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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 965 NV Primary

Addresses

Primary practice location

204 McCollum St
Suite 102
Laramie, WY 82070-5103

Mailing address

204 McCollum St
Suite 102
Laramie, WY 82070-5103
Phone (307) 460-9497

Other identifiers 1

IdentifierTypeStateIssuer
002018712MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000002 WY Practitioner - Family Practice 5698677359 Practice locations: Laramie, WY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 McCollum St
Suite 102
Laramie, WY 82070-5151
Phone (307) 460-9497

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Laramie, WY, CCN 537077
  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
965NVMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: marie_gempis@updoxdirect.com
  • Direct secure messaging: mgempis@updoxdirect.com

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1861450116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST",
            "address_2": "SUITE 102",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705103",
            "telephone_number": "307-460-9497",
            "fax_number": "307-460-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST",
            "address_2": "SUITE 102",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705103",
            "telephone_number": "307-460-9497",
            "fax_number": "307-460-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMPIS",
        "first_name": "MARIE",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018712",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.