Brenda R Vance, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

188 Issued in WY

Practice address

1000 E University Ave
University of Wyoming Student Health Ser. Dept. 3068
Laramie, WY 82071-2000

Phone

(307) 776-2139

Fax

(307) 776-2711

NPI assigned

Jul 27, 2005

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• College Drive Urgent Care LLC

  • Urgent Care Clinic/Center
  • Cheyenne, WY
  • NPI 1467601765
  NPD
• Medi Horizons Inc

  • Family Medicine Physician
  • Cheyenne, WY
  • NPI 1003836834
  NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491
  NPD

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871593301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 JEFFERSON ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820706565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE",
            "address_2": "UNIVERSITY OF WYOMING STUDENT HEALTH SER. DEPT. 3068",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712000",
            "telephone_number": "307-776-2139",
            "fax_number": "307-776-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "BRENDA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laramie Valle
• Alexis Vallier
• Kendra Vallier
• Dale Warren Van Wig, R. PH.
• Annette Vanbaalen, MD
• Jill S Vancleave, PHARM.D.
• Jeremy Whitfield Vandiver, PHARMD
• Justin D Vanlandingham, PPC
• Tucker Lea Vanwinkle, ATC NREMT MS
• Luke Vaporis

• All providers in Laramie, WY
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.