| Wind River Family & Community Healthc Care | |
|
14 Great Plains Road Arapahoe WY 82510-0014 | |
| (307) 856-9281 | |
| (307) 316-0348 |
| Full Name | Wind River Family & Community Healthc Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 14 Great Plains Road, Arapahoe, Wyoming |
| Authorized Official Name and Position | Richard B. Brannan (CEO) |
| Authorized Official Contact | 3078569281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind River Family & Community Healthc Care Po Box 1310 Riverton WY 82501-0158 Ph: (307) 856-9281 | Wind River Family & Community Healthc Care 14 Great Plains Road Arapahoe WY 82510-0014 Ph: (307) 856-9281 |
| NPI Number | 1285006379 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 01/22/2025 |
| Medicare PECOS PAC ID | 1850683780 |
|---|---|
| Medicare Enrollment ID | O20160713000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285006379 | NPI | - | NPPES |
| 142138700 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Peggy Jo Whiteplume |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649334905 PECOS PAC ID: 4981681962 Enrollment ID: I20040707001058 |
| Provider Name | Glenn Waite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295742948 PECOS PAC ID: 9133019086 Enrollment ID: I20060428000100 |
| Provider Name | Paul Ebbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235243650 PECOS PAC ID: 5193747475 Enrollment ID: I20070328000254 |
| Provider Name | Mary A Gookin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104000827 PECOS PAC ID: 3476637331 Enrollment ID: I20080301000095 |
| Provider Name | Mark S Cardinal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508931981 PECOS PAC ID: 0547384604 Enrollment ID: I20100826000998 |
| Provider Name | William A Calder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275605412 PECOS PAC ID: 1254455728 Enrollment ID: I20100907000202 |
| Provider Name | Nancy L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104999242 PECOS PAC ID: 7012109457 Enrollment ID: I20101004001401 |
| Provider Name | Cheryl C Portwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639246044 PECOS PAC ID: 0840394219 Enrollment ID: I20120402000260 |
| Provider Name | Karen L Zoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730357377 PECOS PAC ID: 8022195361 Enrollment ID: I20130712000607 |
| Provider Name | Anthony George Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235228388 PECOS PAC ID: 9830267061 Enrollment ID: I20140407000644 |
| Provider Name | Armando Sanchez Burgos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184875296 PECOS PAC ID: 7618157678 Enrollment ID: I20150811003986 |
| Provider Name | Katherine Garnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033471842 PECOS PAC ID: 5799081832 Enrollment ID: I20160315002700 |
| Provider Name | Lindsey A Gauderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477936961 PECOS PAC ID: 2769788777 Enrollment ID: I20160316001963 |
| Provider Name | Marco A Godoy Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396723144 PECOS PAC ID: 3971578477 Enrollment ID: I20160505000484 |
| Provider Name | Naseem Razavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386913465 PECOS PAC ID: 5698051308 Enrollment ID: I20170412001635 |
| Provider Name | Kyunghee Seo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073903100 PECOS PAC ID: 9931410263 Enrollment ID: I20170710002159 |
| Provider Name | Michael L Turnington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356890206 PECOS PAC ID: 9830468818 Enrollment ID: I20170822000259 |
| Provider Name | Emily Poloji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922491349 PECOS PAC ID: 8729351564 Enrollment ID: I20180103000645 |
| Provider Name | Chad J Krezelok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285799650 PECOS PAC ID: 6709167638 Enrollment ID: I20180108000405 |
| Provider Name | Teri R Tesdall-sartori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104834506 PECOS PAC ID: 7719871375 Enrollment ID: I20180309000156 |
| Provider Name | Aven G Glazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184123556 PECOS PAC ID: 0446512370 Enrollment ID: I20180313000606 |
| Provider Name | Kyle J Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780171298 PECOS PAC ID: 1951649045 Enrollment ID: I20190215000123 |
| Provider Name | Emma B Hatch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205121886 PECOS PAC ID: 3971836289 Enrollment ID: I20190531000163 |
| Provider Name | Eric S Sawyers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780686188 PECOS PAC ID: 3072750967 Enrollment ID: I20191216000205 |
| Provider Name | Matthew T Graf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215374905 PECOS PAC ID: 2163743337 Enrollment ID: I20200303000781 |
| Provider Name | Louisa Benson Mook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710229810 PECOS PAC ID: 6901126036 Enrollment ID: I20200303002015 |
| Provider Name | Melanie Rae Leedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689234742 PECOS PAC ID: 4385973387 Enrollment ID: I20200708001313 |
| Provider Name | Christine Tasso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043280647 PECOS PAC ID: 6901822550 Enrollment ID: I20200708001804 |
| Provider Name | Halley Cazort |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114571403 PECOS PAC ID: 1254754385 Enrollment ID: I20200708002779 |
| Provider Name | Carlos Hernandez Moreno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386655058 PECOS PAC ID: 6800219684 Enrollment ID: I20200713001775 |
| Provider Name | Margaret M Proctor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366700288 PECOS PAC ID: 5395161939 Enrollment ID: I20200813001857 |
| Provider Name | Elizabeth A Kauffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740625763 PECOS PAC ID: 3577599075 Enrollment ID: I20200821001270 |
| Provider Name | Shannon C Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376892976 PECOS PAC ID: 9537482518 Enrollment ID: I20200909001174 |
| Provider Name | Justin Crockett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417583915 PECOS PAC ID: 8022436146 Enrollment ID: I20200922000177 |
| Provider Name | Yvonne H Lopez-bargeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306307962 PECOS PAC ID: 9133549447 Enrollment ID: I20201026000733 |
| Provider Name | Yuleta G Marta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144888496 PECOS PAC ID: 3870903164 Enrollment ID: I20201027001560 |
| Provider Name | Elizabeth Lindley Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528454956 PECOS PAC ID: 9133499593 Enrollment ID: I20201028003061 |
| Provider Name | Samantha S Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104414234 PECOS PAC ID: 2769890391 Enrollment ID: I20210421000700 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730390584 PECOS PAC ID: 2769539923 Enrollment ID: I20210525000872 |
| Provider Name | Alyssa J Ragsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487083424 PECOS PAC ID: 0446648117 Enrollment ID: I20211029000046 |
| Provider Name | Sunny G Trabing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346570686 PECOS PAC ID: 3173712650 Enrollment ID: I20211101000507 |
| Provider Name | Laura Gibbons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538656376 PECOS PAC ID: 0446505127 Enrollment ID: I20211216000054 |
| Provider Name | Nicola I Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841261211 PECOS PAC ID: 9537198502 Enrollment ID: I20220118001131 |
| Provider Name | Clarence J Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053307710 PECOS PAC ID: 0446330849 Enrollment ID: I20220819002256 |
| Provider Name | Samuel D Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396305207 PECOS PAC ID: 8921333857 Enrollment ID: I20221004000756 |
| Provider Name | Christopher B Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578126231 PECOS PAC ID: 4082957576 Enrollment ID: I20221004001208 |
| Provider Name | Erica A Ramsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619474756 PECOS PAC ID: 8921474909 Enrollment ID: I20221017000485 |
| Provider Name | Brianne M Siebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598486458 PECOS PAC ID: 4385010255 Enrollment ID: I20221018000817 |
| Provider Name | Amy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509308 PECOS PAC ID: 5395116974 Enrollment ID: I20230118000995 |
| Provider Name | Hailey M Garside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609158161 PECOS PAC ID: 0547633216 Enrollment ID: I20230227003067 |
| Provider Name | Thomas Dunaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457454837 PECOS PAC ID: 4385689819 Enrollment ID: I20230728000024 |
| Provider Name | Caroline F Jolley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588226088 PECOS PAC ID: 7911322383 Enrollment ID: I20231005003135 |
| Provider Name | Benjamin E Venter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386427482 PECOS PAC ID: 3476908963 Enrollment ID: I20231019000152 |
| Provider Name | Jordan Justice Harbaugh-williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831753938 PECOS PAC ID: 4981086972 Enrollment ID: I20231127001690 |
| Provider Name | Pamela A Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104170174 PECOS PAC ID: 1254575111 Enrollment ID: I20231205001934 |
| Provider Name | Sidney R Fleecs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629691670 PECOS PAC ID: 8123478898 Enrollment ID: I20231220003224 |
| Provider Name | Cornisa M Abeyta-gaxiola |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669882353 PECOS PAC ID: 7214219245 Enrollment ID: I20240316000088 |
| Provider Name | Shanda L Barlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124608088 PECOS PAC ID: 9638535503 Enrollment ID: I20240923002622 |
| Provider Name | Irma Mendoza-montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609292614 PECOS PAC ID: 8729321369 Enrollment ID: I20241028000006 |
| Provider Name | Sarah E Maze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629651823 PECOS PAC ID: 8820490857 Enrollment ID: I20241122001017 |
| Provider Name | Renea M Springston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699283697 PECOS PAC ID: 8426588625 Enrollment ID: I20250203002639 |
| Provider Name | Courtney L Benner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477008340 PECOS PAC ID: 4082134549 Enrollment ID: I20250227001139 |
| Provider Name | Cori Mcadams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689089161 PECOS PAC ID: 9436674413 Enrollment ID: I20250423000204 |
| Provider Name | Amber E Franks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992193098 PECOS PAC ID: 8527599687 Enrollment ID: I20250529002936 |
Us Health Dept Of Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Great Plains Road, Arapahoe, WY 82501 Phone: 307-856-9281 Fax: 307-856-1630 | |
Wind River Family & Community Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10266 Hwy 789, Arapahoe, WY 82510 Phone: 307-463-4181 |