MS. MARY NELL PATTERSON (NPI# 1386607158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386607158 |
| Entity Type | Individual |
| Full Name | MS. MARY NELL PATTERSON |
| Credential | P.A. |
| Practice Address |
501 S Burma Ave Gillette WY 82716-3426 |
| Mailing Address |
1405 W 4th St Gillette WY 82716-3327 |
| Practice Telephone | 3076883500 |
| Mailing Telephone | 3076882626 |
| Mailing Fax Number | 3076853079 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
151 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA HEALTHCARE PROVIDER | 239215 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841684560 | Mary Patterson | Licensed Practical Nurse | 537 N 63rd St, Wauwatosa, WI 53213-4173 | 2015-03-19 |
| 1679798532 | Mary Frances Patterson | Counselor | 329 Cooper St, Cedar Hill, TX 75104-2627 | 2007-04-16 |
| 1770601643 | Mary Beth Patterson | Social Worker | 521 Pfau St, Mankato, MN 56001 | 2007-03-27 |
| 1265566020 | Mary Jane Patterson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12948 Highway 53, Qulin, MO 63961-8260 | 2007-03-15 |
| 1336231018 | Mary Margaret Patterson | Social Worker | 705 East Timber Drive, Po 897, 21b S. Brown Street, Rhinelander, WI 54501 | 2006-09-29 |
| 1508893124 | Mary Deffner Patterson | Pediatrics | 1600 Sw Archer Rd # 100186, Gainesville, FL 32610-3003 | 2006-06-27 |
| 1871533430 | Mary Eloise Patterson | Physician Assistant | 3980 64th St N, Apt. 27, Saint Petersburg, FL 33709-4823 | 2006-06-08 |
| 1295775310 | Mary Christine Patterson | Nurse Practitioner | 1905 Blake Ave Ste 101, Glenwood Springs, CO 81601-4206 | 2006-06-07 |
| 1750836409 | Mary Patterson | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2016-08-23 |
| 1386913341 | Mary Elizabeth Patterson | Registered Nurse | 30 Medical Center Blvd, Suite 105, Chester, PA 19013-3955 | 2011-12-21 |
| Street Address |
501 S BURMA AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257720 | Alan L Mitchell | Radiology | 501 S Burma Ave, Gillette, WY 82716-3426 | 2005-07-01 |
| 1730796087 | Jenae Elizabeth Schoenike | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-09-29 |
| 1417569732 | Nikole Marie Lawrence | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-08-18 |
| 1396354221 | Nancy Dillie | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-27 |
| 1538777800 | Devin Rae Vance | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1851909295 | Barry Shannon | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1255949525 | Lisa Jackson-eldridge | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1083222483 | Derek Friedlan | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-21 |
| 1295377414 | Charmaine Abigan Jaiver | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-10-09 |
| 1841844172 | Daniel Bryan Rust | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508311085 | David Alden Boedeker | Physician Assistant | 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | 2016-08-24 |
| 1528482254 | Julie Marie Jones | Physician Assistant | 501 S Burma Ave, Gillette, WY 82716-3426 | 2014-02-17 |
| 1497992408 | Chelsi Jean Krehmeyer | Physician Assistant | 407 S Medical Arts Ct Ste D, Gillette, WY 82716-3372 | 2009-01-13 |
| 1356592976 | Mindy Keil | Physician Assistant | 1308 W 4th St, Gillette, WY 82716-3330 | 2008-10-01 |
| 1578553384 | William D Thompson | Physician Assistant | 407 S Medical Arts Ct, Suite D, Gillette, WY 82716-3372 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1730646035 | Colby Vossler | Physician Assistant | 2635 Torrington Rd, Cheyenne, WY 82009-9258 | 2019-02-23 |
| 1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
| 1649490814 | Charles Douglas Littell | Physician Assistant | 26 Miles West of Green River, Green River, WY 82935-0872 | 2007-04-27 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1194815225 | Barbara A. Shear | Physician Assistant | 2417 East 15th Street, Casper, WY 82609 | 2006-10-12 |
| 1952498230 | Daniel Janssen | Physician Assistant | 900 Cy Ave, Casper, WY 82601-4174 | 2006-10-06 |
| 1376638338 | Steven John Platz | Physician Assistant | 8195 State Hwy 789, Lander, WY 82520 | 2006-10-04 |
| 1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.