Active NPI
Ellen C Wilhelm, APRN
- Obstetrics & Gynecology Nurse Practitioner
- Cheyenne, WY
National Provider Identifier
1962698514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 14569.0146
- Practice address
- 3235 Sparks Rd
Suite 200
Cheyenne, WY 82001-6158 - Phone
- (307) 638-8975
- Fax
- (307) 634-9267
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 14569.146 | WY | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 14569.0146 | WY | Primary |
Addresses
Primary practice location
3235 Sparks Rd
Suite 200
Cheyenne, WY 82001-6158
Mailing address
4003 Rawlins St.
Cheyenne, WY 82001-1800
Phone (307) 638-8975
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313702 | Other | WY | BLUE CROSS BLUE SHIELD |
| 121720800 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14569.0146 | WY | MD | Obstetrics & Gynecology Nurse Practitioner |
| 14569.146 | WY | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Falls Clinic, P.C. | Past | Accepting new patients | |
| Willow Creek Family Medicine, P.C. | Past | Accepting new patients | |
| Mountain West Surgical Specialists LLC | Past | Accepting new patients |
Interoperability endpoints
- https://soap.crmcwy.org/fhirproxy/api/FHIR/R4
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.
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- NPI 1366209645
-
- Family Nurse Practitioner
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- NPI 1184800674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1962698514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4003 RAWLINS ST.",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820011800",
"telephone_number": "307-638-8975",
"fax_number": "307-634-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 SPARKS RD",
"address_2": "SUITE 200",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820016158",
"telephone_number": "307-638-8975",
"fax_number": "307-634-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELM",
"first_name": "ELLEN",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WY",
"license": "14569.146",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WY",
"license": "14569.0146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "313702",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121720800",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.