Individual provider Active NPI

Kody James Wheeler, DNP, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1881573467
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57279 Issued in WY
Practice address
1541 Diamond Drive
Casper, WY 82601-6247
Phone
(307) 232-3235
Fax
(307) 215-0898
NPI assigned
Aug 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 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 Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 57279 WY Primary

Addresses

Primary practice location

1541 Diamond Drive
Casper, WY 82601-6247

Mailing address

1541 Diamond Drive
Casper, WY 82601-6247
Phone (307) 232-3235

Other practice location 1

6350 East 2nd St.
Casper, WY 82609
Phone (307) 232-6600

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
I20251202003753 WY Practitioner - Nurse Practitioner 3274026877 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
Telehealth
Offers telehealth services
Group practices
Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians

Practice addresses (Care Compare)

1541 Diamond Dr
Casper, WY 82601-6247
Phone (307) 358-2122

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57279WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Memorial Medical Group LLC Single Specialty CurrentSince Oct 15, 2025 Accepting new patients

Locations

1541 Diamond Dr
Casper, WY 82601
Phone (307) 224-2060

6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600

222 S 5th St
Douglas, WY 82633
Phone (307) 286-6738

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1881573467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 DIAMOND DRIVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016247",
            "telephone_number": "307-232-3235",
            "fax_number": "307-215-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 DIAMOND DRIVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016247",
            "telephone_number": "307-232-3235",
            "fax_number": "307-215-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 East 2nd St.",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "82609",
            "country_code": "US",
            "telephone_number": "307-232-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KODY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-CNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "57279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.