Individual provider Active NPI

Lynn Horton, M.D.

  • Family Medicine Physician
  • Lusk, WY
National Provider Identifier
1992794317
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6138A Issued in WY
Practice address
921 S Ballancee
Lusk, WY 82225-0780
Phone
(307) 334-4000
Fax
(307) 334-0183
NPI assigned
Oct 18, 2005
Last updated
Feb 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6138A WY Primary

Addresses

Primary practice location

921 S Ballancee
Lusk, WY 82225-0780

Mailing address

720 Lindsay LN
Suite 2
Cody, WY 82414-4103
Phone (307) 578-1800

Other identifiers 4

IdentifierTypeStateIssuer
0078846MedicaidMT
121109900MedicaidWY
P00162968OtherWYRAILROAD MEDICARE
312893OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514000652 TX Practitioner - Emergency Medicine 7911985395 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6138AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Butte Indian Health Service Hospital CurrentSince Apr 15, 2019 Accepting new patients
Urgent Care of Wyoming Inc. Past Accepting new patients
West Park Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lynn.horton.1@20640.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1992794317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LINDSAY LN",
            "address_2": "SUITE 2",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144103",
            "telephone_number": "307-578-1800",
            "fax_number": "307-578-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BALLANCEE",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822250780",
            "telephone_number": "307-334-4000",
            "fax_number": "307-334-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "6138A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078846",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121109900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00162968",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "312893",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lusk, WY

Sources for this page

Verify at the official NPI Registry.