Annette Vanbaalen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6760A Issued in WY

Practice address

710 E Garfield St Ste 126
Laramie, WY 82070-3979

Phone

(307) 745-8832

Fax

(307) 745-8832

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 1, 2017 through Aug 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Darren Bressler D.C., P.C.

  • Chiropractor
  • Laramie, WY
  • NPI 1225213127
  NPD (past)
• Healing Gardens Health Center

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1376602581

  Family Medicine

  NPD (past)
• Orthopaedics of Steamboat Springs PC

  • Orthopaedic Surgery Physician
  • Steamboat Springs, CO
  • NPI 1073538401
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1891994703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 12TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704024",
            "telephone_number": "307-760-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E GARFIELD ST STE 126",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703979",
            "telephone_number": "307-745-8832",
            "fax_number": "307-745-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBAALEN",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38966",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6760A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Valencia Still, D.O.
• Laramie Valle
• Alexis Vallier
• Kendra Vallier
• Dale Warren Van Wig, R. PH.
• Brenda R Vance, PA-C
• Jill S Vancleave, PHARM.D.
• Jeremy Whitfield Vandiver, PHARMD
• Justin D Vanlandingham, PPC
• Tucker Lea Vanwinkle, ATC NREMT MS

• All providers in Laramie, WY
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.