Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Ryan Kisicki, MD

Individual provider Family Medicine Physician · NPI 1902060833

Daniel Ryan Kisicki, MD is a Family Practice in Cheyenne, Wyoming. Graduated from University of Colorado School of Medicine, Denver in 2008, 18 years ago. Practices with Cheyenne Regional Physicians Group LLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Wyoming.

Years since qualifying
18
Trained at
University of Colorado School of Medicine, Denver
Licensed in
MI, WY
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4017 Rawlins St
Cheyenne, WY 82001-1800
Phone: (307) 635-2562
Fax: (307) 638-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1950 Bluegrass Cir, Cheyenne, WY 82009-7323 — (307) 778-2577

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9010A (WY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301092823 (MI)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 9010A (WY)

Record details

NPI number1902060833
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2008
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing address1950 Bluegrass Cir, Suite 200, Cheyenne, WY 82009-7323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2008 (18 years in practice)
Group practice Cheyenne Regional Physicians Group Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cheyenne