A Wyoming Pain Clinic P C
NPI 1164804480ActiveOrganization· Anesthesiology, Pain Medicine· Gillette, WY
Anesthesiology, Pain Medicine in Gillette, Wyoming, registered in NPPES in June 2015. The authorized official on file is John L. Mansell, MD, Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164804480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2015 |
| Last updated in NPPES | Jan 23, 2024 |
| Certified by provider | Jan 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | 7144A | WY |
| Anesthesiology | 207L00000X | 7144A | WY |
| Clinic/Center, Pain | 261QP3300X | 7144A | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WY) |
|---|
Other Anesthesiology, Pain Medicine providers in Gillette
- 1972535227