Individual provider Active NPI

Herlly Yohanna Camacho Bastidas, ARNP

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1922513142
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9428927 Issued in FL
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

Updated by the provider on Apr 15, 2026

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 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, DC5 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 5

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 9638585391, 63 clinicians

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

LicenseStateTypeSpecialty
9428927FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care United Medical Center of Laramie, LLC CurrentSince Feb 12, 2018 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.

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

Verify at the official NPI Registry.