Active NPI 1649642034 Individual Practitioner Female Practitioner

Christa J Kovachevich , ARNP, CPNP-PC

Nurse Practitioner - Pediatrics • Cheyenne, WY

Professional Overview & Biography Verified Profile Summary

Christa Kovachevich, ARNP, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Cheyenne, WY. Practice services are available at 1307 CROOK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1307 Crook Ave

Cheyenne, WY 820015412

Telephone 3213133595

Associated Practice Facility / Clinic

🏢 Pony Express Pediatrics, Llc Facility NPI 1265087993

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Cheyenne, WY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 5.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Cheyenne, WY (21 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WY 43135

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License FL 9390419

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

016218600 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location August 08, 2019

Registered at 1307 CROOK AVE, CHEYENNE, WY 820015412 (Tel: 3213133595)

📍

Updated Business Mailing Address August 08, 2019

Registered at 2076 PAINTED SKY RD, CHEYENNE, WY 820099196 (Tel: 3213133595)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2019

Nurse Practitioner (License #43135 in WY)

✅

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2017

Registered at 6525 3RD ST STE 106, ROCKLEDGE, FL 329555744 (Tel: 3213079400)

📍

Updated Business Mailing Address February 02, 2017

Registered at 6525 3RD ST STE 106, ROCKLEDGE, FL 329555744 (Tel: 3213079400)

👤

Provider Name / Credentials Updated February 02, 2017

Recorded as CHRISTA KOVACHEVICH, ARNP, CPNP-PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Nurse Practitioner (License #9390419 in FL)

✅

NPI Profile Active December 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2015

Registered at 1381 S PATRICK DR, PATRICK AFB, FL 329253606 (Tel: 3214948241)

📍

Updated Business Mailing Address December 08, 2015

Registered at 1381 S PATRICK DR, PATRICK AFB, FL 329253606 (Tel: 3214948241)

👤

Provider Name / Credentials Updated December 08, 2015

Recorded as CHRISTA KOVACHEVICH, ARNP, CPNP-PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2015

Nurse Practitioner (License #9390419 in FL)

🟢

Initial NPI Registration & Enumeration October 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649642034

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 23, 2015

Last Update: August 08, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2076 Painted Sky Rd

Cheyenne, WY 820099196

Phone: 3213133595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.