| Penny Marie Sanderson, APRN, FNP-C | |
|
2500 Dell Range Blvd, Cheyenne, WY 82009-5273 | |
| (307) 630-4729 | |
| (307) 632-3298 |
| Full Name | Penny Marie Sanderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 2500 Dell Range Blvd, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013249929 | NPI | - | NPPES |
| 10025914400 | Medicaid | NE | |
| 47051963312 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 111108 (Nebraska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 30342.1158 (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Liv In-home Counseling And Care Management, Llc | 5698992352 | 14 |
| Entity Name | Digestive Health Associates Of Cheyenne |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508808239 PECOS PAC ID: 9032100557 Enrollment ID: O20040521001051 |
| Entity Name | Memorial Hospital Of Carbon County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710298757 PECOS PAC ID: 9638067176 Enrollment ID: O20100527000702 |
| Entity Name | Memorial Hospital Of Carbon County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1891006839 PECOS PAC ID: 9638067176 Enrollment ID: O20100527000784 |
| Entity Name | Liv In-home Counseling & Care Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740604057 PECOS PAC ID: 5698992352 Enrollment ID: O20140804002438 |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Marie Sanderson, APRN, FNP-C Po Box 20092, Cheyenne, WY 82003-7002 Ph: (307) 630-4729 | Penny Marie Sanderson, APRN, FNP-C 2500 Dell Range Blvd, Cheyenne, WY 82009-5273 Ph: (307) 630-4729 |
Christy Marie Burd, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2029 Bluegrass Cir Ste 200, Cheyenne, WY 82009 Phone: 307-638-8975 | |
Mrs. Diane E Hattel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3235 Sparks Rd, Suite 200, Cheyenne, WY 82001 Phone: 307-638-8975 Fax: 307-634-9267 | |
Julian Good, FNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 330-763-2936 Fax: 307-637-6852 | |
Daniel Taylor West, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-2273 | |
Jannene Sneddon Sebesta, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7952 Fax: 307-633-7018 | |
Megan Lynn Bade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 E Carlson St Ste 102, Cheyenne, WY 82009 Phone: 307-316-5026 |