Individual provider Active NPI

Candi Hallermann, APRN

  • Family Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1902370778
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34032.1855 Issued in WY
Practice address
1013 E Boxelder Rd Ste 200
Gillette, WY 82718-5941
Phone
(307) 257-7620
Fax
(307) 257-7618
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 Practitioner 363LF0000X 34032.1855 WY Primary

Addresses

Primary practice location

1013 E Boxelder Rd Ste 200
Gillette, WY 82718-5941

Mailing address

1013 E Boxelder Rd Ste 200
Gillette, WY 82718-5941
Phone (307) 257-7620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cchwyo@cchwyo.sdhealthlink.net Direct Campbell County Hospital District

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
I20190723001265 WY Practitioner - Nurse Practitioner 4789910159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Healthcare LLCGroup PAC ID 7618103433, 2 clinicians

Practice addresses (Care Compare)

1013 E Boxelder Rd
Suite 200
Gillette, WY 82718-5941
Phone (307) 257-7620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34032.1855WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Healthcare LLC CurrentSince Jun 7, 2025 Accepting new patients
Campbell County Hospital District CurrentSince May 21, 2019 Accepting new patients
Campbell County Hospital District CurrentSince May 21, 2019 Accepting new patients
Campbell County Hospital District Current Accepting new patients

Locations

1013 E Boxelder Rd
Ste 200
Gillette, WY 82718
Phone (307) 257-7620

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 2

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1902370778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 E BOXELDER RD STE 200",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185941",
            "telephone_number": "307-257-7620",
            "fax_number": "307-257-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E BOXELDER RD STE 200",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185941",
            "telephone_number": "307-257-7620",
            "fax_number": "307-257-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLERMANN",
        "first_name": "CANDI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "34032.1855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchwyo@cchwyo.sdhealthlink.net",
            "affiliation": "Y",
            "affiliationName": "Campbell County Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 S Burma Ave",
            "city": "Gillette",
            "state": "WY",
            "country_code": "US",
            "postal_code": "827163426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.