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

Stefani Bissonette, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1407200660

Stefani Bissonette, MD is an Obstetrics/Gynecology in Douglas, Wyoming. Graduated from University of Washington School of Medicine in 2016, 10 years ago. Practices with Summit OB GYN PC, a 4-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
10
Trained at
University of Washington School of Medicine
Licensed in
WY
In the registry since
2016
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

700 E Center St
Douglas, WY 82633-2446
Phone: (307) 358-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 13011A (WY)

Record details

NPI number1407200660
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023
Mailing address700 E Center St, Douglas, WY 82633-2446

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Summit Ob Gyn Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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