KELLY GEBAUER WHNP-BC NPI 1356964464

NPI Information

  • NPI: 1356964464
  • Provider Name: KELLY GEBAUER, WHNP-BC
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 611 E CARLSON ST STE 102
    CHEYENNE, WY
    ZIP 82009
  • Phone: (307) 364-3415

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NPI Details

Kelly Gebauer, WHNP-BC is a women's health nurse practitioner in Cheyenne, WY. Kelly Gebauer, WHNP-BC NPI is 1356964464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 E CARLSON ST STE 102
CHEYENNE, WY
ZIP 82009-335
Phone: (307) 364-3415
Fax: (307) 296-0349

The NPI 1356964464 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2020 and was last updated on 1/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0101XRegistered NurseWomen's Health Care, Ambulatory22963WYOMINGNo
2363L00000XNurse Practitioner47173WYOMINGNo
3363LW0102XNurse PractitionerWomen's Health47173WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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