Individual provider Active NPI

Scott L Johnston, MD

  • Family Medicine Physician
  • Gillette, WY
National Provider Identifier
1912990458
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6083A Issued in WY
Practice address
801 E 4TH St Ste 20
Gillette, WY 82716-4061
Phone
(307) 686-2600
Fax
(307) 686-2602
NPI assigned
Aug 30, 2005
Reactivated
Apr 3, 2006
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6083A WY Primary

Addresses

Primary practice location

801 E 4TH St Ste 20
Gillette, WY 82716-4061

Mailing address

PO Box 689
Wright, WY 82732-0689
Phone (307) 660-8699

Other identifiers 1

IdentifierTypeStateIssuer
113554600MedicaidWY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000013 WY Practitioner - Family Practice 8224027685 Reassigns benefits to 1 organization
Practice locations: Gillette, WY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2672MNMDRegistered Dietitian
6083AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Feb 1, 2026 Accepting new patients
Rangeland Inpatient Services LLC Past Accepting new patients
Campbell County Hospital District Past Accepting new patients
Hoskinson Health & Wellness Clinic LLC Family Medicine Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1912990458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "WRIGHT",
            "state": "WY",
            "postal_code": "827320689",
            "telephone_number": "307-660-8699",
            "fax_number": "307-686-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 4TH ST STE 20",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164061",
            "telephone_number": "307-686-2600",
            "fax_number": "307-686-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6083A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113554600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.