Kerry G Engelking, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

3569A Issued in WY

Practice address

10240 W Poison Spider Rd
Casper, WY 82604-9556

Phone

(307) 277-5502

NPI assigned

Oct 4, 2006

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Anesthesiology

Education

Creighton University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/dcf3b1c6-3971-4673-962e-8b2cce0ff827/
• Direct secure messaging: kerry.engelking@direct.wyomingmedicalcenter.org

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.

• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Medicare reassignment NPD
• Professional Pathology of Wyoming

  • Anatomic Pathology & Clinical Pathology Physician
  • Casper, WY
  • NPI 1801181730
  NPD
• Wyoming Anesthesia, LLC

  • Anesthesiology Physician
  • Casper, WY
  • NPI 1265908321
  NPD
• Wyoming Medical Center, Inc.

  dba WMC Anesthesia Services

  • Anesthesiology Physician
  • Casper, WY
  • NPI 1952735805
  NPD

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

• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1942395686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 2ND ST",
            "address_2": "SUITE 415",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012454",
            "telephone_number": "307-237-5848",
            "fax_number": "307-237-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W POISON SPIDER RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826049556",
            "telephone_number": "307-277-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELKING",
        "first_name": "KERRY",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "3569A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MEDICAID",
            "identifier": "104206801",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050037998",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "307121",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104206800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emissary Professional Group (Emissary HMO Pharmacy)
• Emissionist LLC
• Emotional Wellness Counseling LLC
• Empowered Chiropractic LLC
• Empres at Casper, LLC
• Nancy W. Engstrom, R.PH.
• Jean Vernice Ennis, OTR
• Gail E Enyert, RN, MS, NPC
• Epic Chiropractic of Casper LLC
• Epsilon Health Solutions LLC (Epsilon)

• Anesthesiology Physician in Casper, WY
• Providers in Casper, WY by specialty
• Anesthesiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.