Family Medicine
PG DIRECT CARE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972421576 · enumerated 2026-07-09 · record updated 2026-07-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: NICHOLAS GREEN NP, OWNER · (307) 381-8446
Addresses and phones
- Practice location 1100 PINE AVE, STE 3B, KEMMERER, WY, 83101 (307) 381-8446 Fax (307) 209-5774 Google Maps Apple Maps OpenStreetMap
- Mailing address 30 N GOULD ST STE N, SHERIDAN, WY, 82801-6317 (307) 381-8446 Fax (307) 209-5774 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
-
Practice location
KEMMERER, WY, 83101
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.