Individual provider Active NPI

Denise D Macleod, APN

  • Pediatric Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1891787750
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1818 Issued in WY
Practice address
2301 House Ave Ste 405
Cheyenne, WY 82001-3180
Phone
(307) 635-7961
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209-005076 IL
Nurse Practitioner 363L00000X 1818 WY
Pediatric Nurse Practitioner 363LP0200X 18496 TN
Pediatric Nurse Practitioner 363LP0200X 1818 WY Primary

Addresses

Primary practice location

2301 House Ave Ste 405
Cheyenne, WY 82001-3180

Mailing address

310 25TH Ave N
Suite 201
Nashville, TN 37203-1515

Other practice location 1

330 Wallace Rd
Suite 109
Nashville, TN 37211-4893
Phone (615) 832-5612

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dmacleod33705@direct.crmcwy.org Direct Memorial Hospital of Laramie County
Direct Messaging Address dmacleod33705@direct.crmcwy.org Health Information Exchange (HIE) Memorial Hospital of Laramie County

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
I20230516001228 WY Practitioner - Nurse Practitioner 6305941402 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-005076ILMDPediatric Nurse Practitioner
18496TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Regional Physicians Group, LLC CurrentSince Jun 5, 2023 Accepting new patients
Centennial Pediatrics PC PastSince Oct 1, 2012 Accepting new patients
Cheyenne Children'S Clinic, PC Past Accepting new patients

Locations

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

2301 House Ave
Ste 405
Cheyenne, WY 82001
Phone (307) 635-7961

Interoperability endpoints

  • Direct secure messaging: dmacleod33705@direct.crmcwy.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1891787750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 405",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013180",
            "telephone_number": "307-635-7961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Wallace Rd",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114893",
            "country_code": "US",
            "telephone_number": "615-832-5612",
            "fax_number": "615-331-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "DENISE",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209-005076",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "1818",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "18496",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WY",
            "license": "1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmacleod33705@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmacleod33705@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.