Lora Lea Koenig

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20484.1792 Issued in WY

Practice address

1035 Rose LN
Riverton, WY 82501-2291

Phone

(307) 233-6000

Fax

(307) 233-6089

NPI assigned

Nov 3, 2017

Last updated

Jan 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Weston County Hospital DistrictGroup PAC ID 0042293276, shared by 6 NPIs, 12 clinicians

Cedar Hills Family Clinic, P.C.Group PAC ID 7315929056, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Weston County Health Services Hospital, Newcastle, WY, CCN 531303

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Weston County Hospital District

  dba Weston County Health Services

  • Rural Acute Care Hospital
  • Newcastle, WY
  • NPI 1154402972
  Medicare reassignment NPD
• Great Plains Tribal Chairmen's Health Board

  dba Oyate Health Center

  • Pharmacy
  • Rapid City, SD
  • NPI 1376105452

  TX

  Medicare reassignment NPD
• Weston County Hospital District

  dba Weston County Upton Clinic

  • Rural Health Clinic/Center
  • Upton, WY
  • NPI 1588230015
  NPD
• Weston County Hospital District

  dba Weston County Newcastle Clinic

  • Rural Health Clinic/Center
  • Newcastle, WY
  • NPI 1982288312
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Weston County Hospital District

  dba Weston County Health Services

  • Rural Acute Care Hospital
  • Newcastle, WY
  • NPI 1154402972
  Care Compare affiliation

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1912419623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BLACKMORE RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093345",
            "telephone_number": "307-233-6000",
            "fax_number": "307-233-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ROSE LN",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012291",
            "telephone_number": "307-233-6000",
            "fax_number": "307-233-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LORA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1792",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "20484.1792",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "20484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912419623",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anson King
• Kister Eyecare, PC
• Benjamin J Kister, OD
• Shannon Knight
• Kali Lauren Kocian
• Nora Elizabeth Kratz, MD
• Dietrich Kuegeler
• L Joanne Hedgecock MD PC
• Lab2You Premier Mobile Services LLC
• Alma Maurice Law

• Family Nurse Practitioner in Riverton, WY
• Providers in Riverton, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.