Annalise Forsythe, FNP-BC
NPI 1336614247ActiveIndividual· Nurse Practitioner, Family· Cheyenne, WY
Nurse Practitioner, Family (FNP-BC) with Bend Memorial Clinic PC, practicing in Cheyenne, Wyoming. Mostly services rather than prescriptions: Medicare paid $3,719 for 21 patients in 2024, with only 20 Part D claims. Glaxosmithkline, LLC. reported $21.33 in payments in 2025, mostly food and beverage. Lists St Charles Medical Center - Bend as a hospital affiliation.
Overview
| NPI | 1336614247 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 6, 2018 |
| Last updated in NPPES | Nov 9, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1825 | WY |
| Registered Nurse | 163W00000X | 36066 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR); Practitioner - Nurse Practitioner (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 133 across 40 procedure codes |
| Paid by Medicare | $3,719 |
Part D prescriptions in 2024
| Prescriptions (claims) | 20 · 32 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $280.27 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Bend Memorial Clinic PCBend, OR · 221 clinicians
Hospital affiliation
- St Charles Medical Center - BendBend, OR
Industry payments (Open Payments)
- 2025$21.33 · 1 payment from 1 company
- 2024$8.58 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $21.33 | 1 |
What the 2025 payments were for
- Food and Beverage$21.33 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Cheyenne
- 1003552639
- 1003951229
- 1013249929
- 1083346233
- 1124863089
- 1134302037
- 1164634697
- 1184266058
- 1205241627
- 1215522156
- 1245455286
- 1285410423
All 118 family nurse practitioners in Cheyenne · All family nurse practitioners in Wyoming