Individual provider Active NPI

Wendy Geraldine Avalos, MSN, FNP

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1962042598
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55874 Issued in WY
Practice address
2301 House Ave Ste 400
Cheyenne, WY 82001-3180
Phone
(307) 634-5216
Fax
(307) 638-6675
NPI assigned
Jan 11, 2020
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141655 TX
Family Nurse Practitioner 363LF0000X 55874 WY Primary

Addresses

Primary practice location

2301 House Ave Ste 400
Cheyenne, WY 82001-3180

Mailing address

2301 House Ave Ste 400
Cheyenne, WY 82001-3180
Phone (307) 634-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200207000332 TX Practitioner - Nurse Practitioner 9537595756 Reassigns benefits to 1 organization
I20250212000351 WY Practitioner - Nurse Practitioner 9537595756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne Obstetrics and Gynecology Inc PCGroup PAC ID 9537142963, 7 clinicians

Practice addresses (Care Compare)

2301 House Ave
Suite 400
Cheyenne, WY 82001-3180
Phone (307) 634-5216

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP141655TXMDFamily Nurse Practitioner
55874WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Feb 1, 2020 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Feb 1, 2020 Accepting new patients
Cheyenne Obstetrics and Gynecology Inc PC CurrentSince Jan 15, 2025 Accepting new patients

Locations

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3601 4th St
Fl 3
Lubbock, TX 79430
Phone (806) 743-2340

3601 4th St
Stop 8340
Lubbock, TX 79430
Phone (806) 743-1946

2301 House Ave
Ste 400
Cheyenne, WY 82001
Phone (307) 634-5216

Organizations & group practices 4

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.

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": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1962042598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 400",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013180",
            "telephone_number": "307-634-5216",
            "fax_number": "307-638-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 400",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013180",
            "telephone_number": "307-634-5216",
            "fax_number": "307-638-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "WENDY",
        "middle_name": "GERALDINE",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "55874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.