Holistic Pain Management of Wyoming, LLC
NPI 1487295846ActiveOrganization· Nurse Practitioner, Family· Riverton, WY
Nurse Practitioner, Family in Riverton, Wyoming, registered in NPPES in October 2019. The authorized official on file is Ryan Shedd, CRNA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487295846 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2019 |
| Last updated in NPPES | Oct 20, 2022 |
| Certified by provider | Oct 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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