Individual provider Active NPI

Wesley Daniel Davis, DNP, APRN

  • Acute Care Nurse Practitioner
  • Sundance, WY
National Provider Identifier
1972922995
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1332 Issued in WY
Practice address
108 North 8TH Street
Sundance, WY 82729
Phone
(843) 623-4463
NPI assigned
Apr 8, 2014
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1332 WY
Acute Care Nurse Practitioner 363LA2100X 1332 WY Primary
Family Nurse Practitioner 363LF0000X 1332 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1332 WY

Addresses

Primary practice location

108 North 8TH Street
Sundance, WY 82729

Mailing address

PO Box 1173
Sundance, WY 82729-1173
Phone (843) 623-4463

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107000139 WY Practitioner - Nurse Practitioner 5193947133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

713 E Oak St
Sundance, WY 82729-5172
Phone 3072833501173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1332WYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weston County Hospital District CurrentSince Dec 3, 2017 Accepting new patients
Weston County Hospital District CurrentSince Dec 3, 2017 Accepting new patients
Crook County Medical Services District Current Accepting new patients
Crook County Medical Services District CurrentSince Apr 20, 2019 Accepting new patients
Peak Emergency Physicians LLC Past Accepting new patients
Crook County Medical Services District Past Accepting new patients

Locations

1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715

Organizations & group practices 6

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1972922995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827291173",
            "telephone_number": "843-623-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTH 8TH STREET",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "82729",
            "telephone_number": "843-623-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WESLEY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "1332",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WY",
            "license": "1332",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1332",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "1332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sundance, WY

Sources for this page

Verify at the official NPI Registry.