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

Mattie Raydon Johnson

Individual provider Family Nurse Practitioner · NPI 1003537564

Mattie Raydon Johnson is a Nurse Practitioner in Torrington, Wyoming. Qualified in 2022, 4 years ago. Practices with Cheyenne Health and Wellness Center, a 7-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2022
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Practice location Address checks out

625 Albany Ave
Torrington, WY 82240-1530
Phone: (307) 532-2107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 44901 (WY)

Record details

NPI number1003537564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022
Mailing address625 Albany Ave, Torrington, WY 82240-1530

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cheyenne Health And Wellness Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Torrington