Individual provider Active NPI

Kelly Eckes, APRN

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1932620002
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27820.1637 Issued in WY
Practice address
1900 E 1St St
Casper, WY 82601-2747
Phone
(307) 577-7737
Fax
(307) 577-0049
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 27820.1637 WY Primary

Addresses

Primary practice location

1900 E 1St St
Casper, WY 82601-2747

Mailing address

1900 E 1St St
Casper, WY 82601-2747
Phone (307) 577-7737

Other practice location 1

1300 E A St Ste 101
Casper, WY 82601-2211
Phone (307) 224-2484

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
I20171027002270 WY Practitioner - Nurse Practitioner 3678844164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte River Family Practice LLC 3 clinicians

Practice addresses (Care Compare)

1900 E 1St St
Casper, WY 82601-2747
Phone (307) 577-7737

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Minds, LLC CurrentSince Apr 18, 2023 Accepting new patients
Platte River Family Practice LLC Family CurrentSince Sep 29, 2017 Accepting new patients
Be Mindfully You, LLC Past Accepting new patients

Locations

1300 E A St
Ste 101
Casper, WY 82601
Phone (307) 224-2484

1900 E 1st St
Casper, WY 82601
Phone (307) 577-7737

Organizations & group practices 3

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 1

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1932620002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012747",
            "telephone_number": "307-577-7737",
            "fax_number": "307-577-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012747",
            "telephone_number": "307-577-7737",
            "fax_number": "307-577-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E A St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012211",
            "country_code": "US",
            "telephone_number": "307-224-2484",
            "fax_number": "307-222-7784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKES",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "27820.1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.