Lida D Prypchan, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

7701A Issued in WY

Practice address

2521 E 15TH St
Casper, WY 82609

Phone

(307) 237-7444

Fax

(307) 265-5525

NPI assigned

Jun 15, 2007

Last updated

Aug 28, 2018By the provider in NPPES

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

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

78.43 of 100Reported as group

Quality

85.54

Improvement activities

40

Cost

30.71

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyoming Behavioral Institute

  • Psychiatric Hospital
  • Casper, WY
  • NPI 1295709822
  Medicare reassignment NPD

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1902001506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E 15TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094126",
            "telephone_number": "307-237-7444",
            "fax_number": "307-265-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 E 15TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82609",
            "telephone_number": "307-237-7444",
            "fax_number": "307-265-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYPCHAN",
        "first_name": "LIDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WY",
            "license": "7701A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE WY",
            "identifier": "7701A",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prospera Healthcare Wyoming LLC
• Cassidy Diane Provo, PPC
• Denise R Prugh, DDS
• Christopher Pruitt, PA
• Rachel Pryor
• Joel M Pull, MD
• Shawnna Punteney, LPC
• Purposeful People, Inc.
• John David Purviance, M.D.
• Nathan G Putnam, MD

• Child & Adolescent Psychiatry Physician in Casper, WY
• Providers in Casper, WY by specialty
• Child & Adolescent Psychiatry Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.