Crook County Nursing Facility – Nursing Care Agency, NPI 1114086402

Crook County Nursing Facility is a healthcare provider. based in Sundance, Wyoming. specializing in Nursing Care Agency. The organization holds a License No. 07-105 (WY). The NPI Number for Crook County Nursing Facility is 1114086402

Main info

Organization
Name
Crook County Nursing Facility
NPI
1114086402
Phone
(307) 283-3501
Address
PO BOX 517
Authorized Official
MICKI DAHNE LYONS CEO DNP
Enumeration Date
6 December 2006
Last Update Date
24 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Crook County Nursing Facility

  • Sundance Drive, Nabigla Po, Nagkaisang Nayon, Novaliches, 5th District, Quezon City, Eastern Manila District, Metropolitan Manila, 1125, Philippines

    713 OAK STREET

    SUNDANCE, WY 827290517

    Phone: (307) 283-3501

    Fax: (307) 283-2255

    Type: Mailing

  • Crook County Medical Services District, 713, East Oak Street, Sundance, Crook County, Wyoming, 82729, United States

    SUNDANCE, WY 827290517

    Phone: (307) 283-3501

    Fax: (307) 283-2255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100824001188OSkilled Nursing FacilityWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82729)

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Reviews

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Frequently asked questions

How do payers reference Crook County Nursing Facility?
For Crook County Nursing Facility, use NPI 1114086402 as the unique 10-digit identifier.
Is there an active status for Crook County Nursing Facility?
For scheduling context, Crook County Nursing Facility is shown as active in the registry.
What clinical focus is listed for Crook County Nursing Facility?
At a glance, Crook County Nursing Facility is tied to Nursing Care Agency. Clinical services aligned with this taxonomy classification.
What locale is associated with Crook County Nursing Facility?
Directory geography for Crook County Nursing Facility centers on Sundance, Wyoming.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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