MEDICARE: KELSEE JO FICKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		WY
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	PAT100	WY

General Provider Information

NPI Number	:	1558846600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEE JO FICKER

Provider Business Mailing Address
First Line	:	492 MILLER AVE
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-4922
Country	:	US
Telephone Number	:	307-677-3369
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 CITY VIEW DR STE 206
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-5326
Country	:	US
Telephone Number	:	307-789-7915
Fax Number	:	307-789-6009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	05/14/2025

Similar Medicare Providers

1588662696 — MS. YURI EDNA FREEMAN MA
Practice Location Address:

350 CITY VIEW DR STE 206
EVANSTON, WY
82930-5326

Practice Phone: 307-789-7915
Practice Fax:

1245774421 — PARVANAE PENTICO
Practice Location Address:

350 CITY VIEW DR STE 206
EVANSTON, WY
82930-5326

Practice Phone: 307-789-7915
Practice Fax: 307-789-6009

1295273498 — MINDEE MARLER PCSW
Practice Location Address:

350 CITY VIEW DR STE 206
EVANSTON, WY
82930-5326

Practice Phone: 307-789-7915
Practice Fax: 307-789-6009

1598205775 — VICTORIA KELM-FOY
Practice Location Address:

190 OVERTHRUST RD
EVANSTON, WY
82930-5326

Practice Phone: 307-789-4224
Practice Fax: 307-789-4225

1982184081 — DR. KERIAN S. DUNCAN PT, DPT
Practice Location Address:

350 CITY VIEW DR STE 204
EVANSTON, WY
82930-5326

Practice Phone: 307-223-2286
Practice Fax:

1831787746 — HEIDI C WALTER
Practice Location Address:

350 CITY VIEW DR STE 206
EVANSTON, WY
82930-5326

Practice Phone: 307-789-7915
Practice Fax:

Directions to “ KELSEE JO FICKER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.