Willow Creek Family Medicine, P.C.
NPI 1184800674ActiveOrganization· Nurse Practitioner, Family· Cheyenne, WY
Nurse Practitioner, Family in Cheyenne, Wyoming, registered in NPPES in January 2008. The authorized official on file is Diane E. Hattel, FNP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184800674 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2008 |
| Last updated in NPPES | Mar 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 16129.0890 | 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) |
|---|
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