Eric Donald Ottenbacher, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA797 Issued in WY

Practice address

2030 Bluegrass Cir
Cheyenne, WY 82009-7328

Phone

(317) 635-3500

NPI assigned

Jul 5, 2005

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD, TX, WY3 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 3

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

College Drive Urgent Care LLCGroup PAC ID 1456414788, 10 clinicians

Care United Medical Center of Laramie LLCGroup PAC ID 7719168491, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Care United Medical Center of Laramie, LLC

  dba BestMed

  • Multi-Specialty Clinic/Center
  • Laramie, WY
  • NPI 1063720605
  Medicare reassignment Care Compare group NPD
• College Drive Urgent Care LLC

  • Urgent Care Clinic/Center
  • Cheyenne, WY
  • NPI 1467601765
  Medicare reassignment Care Compare group
• Black Hills Surgical Hospital, LLC

  dba Black Hills Surgical Hospital

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1336009646
  Medicare reassignment
• Fort Yates Indian Health Service Hospital

  • Clinic/Center
  • McLaughlin, SD
  • NPI 1710037288

  TX

  Medicare reassignment
• Medi Horizons Inc

  dba Healthreach

  • Family Medicine Physician
  • Cheyenne, WY
  • NPI 1003836834
  NPD (past)
• Black Hills Surgical Hospital, LLP

  dba West River Ear, Nose, and Throat

  • Surgery Physician
  • Rapid City, SD
  • NPI 1417304924
  NPD (past)
• Rapid City Indian Health Service Hospital

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1316900327
  NPD (past)
• Regional Health Physicians Inc

  dba Hill City Regional Medical Clinic

  • Multi-Specialty Clinic/Center
  • Hill City, SD
  • NPI 1063458263
  NPD (past)

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

• Memorial Hospital of Laramie County

  dba Cheyenne Regional Medical Center

  • General Acute Care Hospital
  • Cheyenne, WY
  • NPI 1285621839
  Care Compare affiliation

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1952308967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097328",
            "telephone_number": "317-635-3500",
            "fax_number": "360-575-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097328",
            "telephone_number": "317-635-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENBACHER",
        "first_name": "ERIC",
        "middle_name": "DONALD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004156",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970022268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & IND.",
            "identifier": "149048",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8330938",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8929945",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzie L Osterloh, FNP-C
• Charles Wesley Ostrander, LPC
• Jennifer Ostrom, RN
• Brenda Mae Oswald
• Kurtsy Oswald, DO
• Ellie Ottman, PT, DPT
• Lisa Otto
• Outside Therapy LLC
• Ovella Health LLC
• Heidi Marie Overall-Block, M.A. - L.M.F.T.

• Physician Assistant in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.