Active NPI
Herlly Yohanna Camacho Bastidas, ARNP
- Family Nurse Practitioner
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9428927
- Practice address
- 4140 S Poplar St
Casper, WY 82601-6104 - Phone
- (307) 235-4143
- NPI assigned
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9428927 | FL | Primary |
Addresses
Primary practice location
4140 S Poplar St
Casper, WY 82601-6104
Mailing address
1919 Central Ave
Cheyenne, WY 82001-3742
Phone (307) 514-9888
Other practice location 1
1919 Central Ave
Cheyenne, WY 82001-3742
Phone (307) 514-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, WV, VA, OH, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180402002127 | WY | Practitioner - Nurse Practitioner | 7214299247 | Reassigns benefits to 1 organization |
| I20260424000117 | WV | Practitioner - Nurse Practitioner | 7214299247 | Reassigns benefits to 1 organization |
| I20260514000742 | VA | Practitioner - Nurse Practitioner | 7214299247 | Reassigns benefits to 1 organization |
| I20260519002063 | OH | Practitioner - Nurse Practitioner | 7214299247 | Reassigns benefits to 1 organization |
| I20260624000725 | DC | Practitioner - Nurse Practitioner | 7214299247 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Post Acute Telehealth PC
Practice addresses (Care Compare)
100 Pkwy Dr
Clarksburg, WV 26301-4357
Phone (304) 624-6401
1053 Clinic Dr
Ivydale, WV 25113-8266
Phone (304) 286-4204
10797 Seneca TRL S
Lindside, WV 24951-7345
Phone (304) 753-4332
1275 Southview Dr
Bluefield, WV 24701-4347
Phone (304) 325-5448
135 Southern Dr
Keyser, WV 26726-2010
Phone (304) 788-3415
1600 27TH St
Parkersburg, WV 26101-2815
Phone (304) 485-6476
183 Holbrook Rd
Buckhannon, WV 26201-0029
Phone (304) 472-3280
18840 Falling Water Rd
Strongsville, OH 44136-4200
Phone (440) 238-1100
198 John Cook Nursing Home Rd
Hinton, WV 25951-5074
Phone (304) 466-0332
20 Wilson Dr
Cameron, WV 26033-2024
Phone (304) 686-3318
209 Clover St
Martinsburg, WV 25404-3803
Phone (304) 263-8921
2125 Royce St
Portsmouth, OH 45662-4714
Phone (740) 354-6635
2200 Floral St
Moundsville, WV 26041-1293
Phone (304) 843-1035
2222 Springdale Rd
Cincinnati, OH 45231-1805
Phone (513) 851-7888
225 W Main St
Shelby, OH 44875-1412
Phone (419) 347-1266
236 Warrior Way
New Richmond, WV 24867-0149
Phone (304) 294-7584
250 Continental Dr
Salem, OH 44460-2508
Phone (330) 337-9503
250 Flank Rd
Petersburg, VA 23805-9117
Phone (804) 861-2223
2615 Derr Rd
Springfield, OH 45503-2445
Phone (937) 390-0005
2675 36TH St
Parkersburg, WV 26104-8024
Phone (304) 485-7447
287 E S Blvd
Petersburg, VA 23805-2700
Phone (804) 733-1190
3800 Summit Glen Dr
Dayton, OH 45449-3647
Phone (937) 436-2273
41 Crestview Ter
Bridgeport, WV 26330-1010
Phone (304) 842-7101
435 Avis Ave NW
Massillon, OH 44646-3555
Phone (330) 837-1741
563 Colony Park Dr
Tallmadge, OH 44278-2859
Phone (330) 630-9780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9428927 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care United Medical Center of Laramie, LLC | Current | Accepting new patients |
Locations
1919 Central Ave
Cheyenne, WY 82001
Phone (307) 514-9888
3810 E Grand Ave
Laramie, WY 82070
Phone (307) 721-1794
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Laramie, WY
- NPI 1063720605
WY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1922513142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 CENTRAL AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013742",
"telephone_number": "307-514-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 S POPLAR ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826016104",
"telephone_number": "307-235-4143"
}
],
"practiceLocations": [
{
"address_1": "1919 Central Ave",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820013742",
"country_code": "US",
"telephone_number": "307-514-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO BASTIDAS",
"first_name": "HERLLY",
"middle_name": "YOHANNA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9428927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.