Individual provider Active NPI

John William Pickrell, M.D.

  • Cardiovascular Disease Physician
  • Casper, WY
National Provider Identifier
1891748703
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6881A Issued in WY
Practice address
1230 E 1St St
Casper, WY 82601-2704
Phone
(307) 266-3174
Fax
(307) 261-6713
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6881A WY Primary

Addresses

Primary practice location

1230 E 1St St
Casper, WY 82601-2704

Mailing address

1230 E 1St St
Casper, WY 82601-2704
Phone (307) 266-3174

Other identifiers 4

IdentifierTypeStateIssuer
312640OtherWYBLUE SHIELD
P00091628OtherWYRAILROAD MEDICARE
118594200MedicaidWY
9702OtherWYBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001371 WY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244224806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming Cardiopulmonary Services PCGroup PAC ID 9830172261, 11 clinicians

Practice addresses (Care Compare)

1230 E 1St St
Casper, WY 82601-2704
Phone (307) 266-3174

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Sagewest Health Care Hospital, Riverton, WY, CCN 530008
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Hot Springs County Memorial Hospital Hospital, Thermopolis, WY, CCN 531304
  • Platte County Hospital Hospital, Wheatland, WY, CCN 531305

Merit-based Incentive Payment System (MIPS)

Final score
91.68 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6881AWYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Cardiopulmonary Services, PC Cardiovascular Disease CurrentSince Jul 1, 2003 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

497 W Lott St
Buffalo, WY 82834
Phone (307) 684-2228

1230 E 1st St
Casper, WY 82601
Phone (307) 266-3174

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

745 Buena Vista Dr
Lander, WY 82520
Phone (307) 332-2941

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

2300 Gasser Rd
Riverton, WY 82501
Phone (307) 856-4232

148 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-0003

Interoperability endpoints

  • Direct secure messaging: john.pickrell@direct.wyomingmedicalcenter.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10047848
  • Direct secure messaging: jpickrell@wcps.allscriptsdirect.net

Organizations & group practices 2

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 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1891748703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012704",
            "telephone_number": "307-266-3174",
            "fax_number": "307-261-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012704",
            "telephone_number": "307-266-3174",
            "fax_number": "307-261-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "6881A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "312640",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00091628",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118594200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9702",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.