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

Dr. Sky Wolf

Individual provider Family Medicine Physician · NPI 1174765093

Dr. Sky Wolf is a Family Practice in Cheyenne, Wyoming. Qualified in 2008, 18 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Wyoming.

Years since qualifying
18
Licensed in
CA, WY
In the registry since
2009
Specialties on file
4
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Practice location Address checks out

6900 Alden Dr Bldg 160
Cheyenne, WY 82005-2945
Phone: (307) 773-2779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9500 Gilman Dr, La Jolla, CA 92093-0811 — (858) 534-9540
  • 820 E 17th St, Cheyenne, WY 82001-4714 — (307) 632-2434

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 12285A (WY)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 20A11115 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174765093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2009
Last updated in NPPESOctober 27, 2023
Certification dateJanuary 8, 2020
Mailing address6900 Alden Dr Bldg 160, Cheyenne, WY 82005-2945

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cheyenne