NPIMap

Individual provider Active NPI

John L. Mansell, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Gillette, WY
National Provider Identifier
1972535227
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
7144A Issued in WY
Practice address
3100 W Lakeway Rd
Suite 3
Gillette, WY 82718-6372
Phone
(307) 696-2996
Fax
(307) 670-8250
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036096773 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 7144A WY Primary

Addresses

Primary practice location

3100 W Lakeway Rd
Suite 3
Gillette, WY 82718-6372

Mailing address

3100 W Lakeway Rd
Ste 3
Gillette, WY 82718-6373
Phone (307) 696-2996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000163 WY Practitioner - AnesthesiologyPractitioner - Pain Management 6507804325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of South Alabama College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 W Lakeway Rd
Suite 3
Gillette, WY 82718-6373
Phone (307) 696-2996

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.4 of 100Reported as individual
Quality
73.52
Improvement activities
40
Cost
59.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: john.mansell.1@11359.direct.athenahealth.com
  • Direct secure messaging: jmansell@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/11359/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Legacy Living and Rehabilitation CenterGillette, WY, CCN 535022 Skilled nursing facility Managing Control - Governing Body Oct 29, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1972535227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W LAKEWAY RD",
            "address_2": "STE 3",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186373",
            "telephone_number": "307-696-2996",
            "fax_number": "307-670-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W LAKEWAY RD",
            "address_2": "SUITE 3",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186372",
            "telephone_number": "307-696-2996",
            "fax_number": "307-670-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSELL",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036096773",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WY",
            "license": "7144A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.