Goose Creek Family Practice, P.C.
NPI 1134407356 · Clinic/Center · Sheridan, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Goose Creek Family Practice, P.C. is a Clinic/Center organization in Sheridan, WY (NPI 1134407356).
Provider details
- NPI number
- 1134407356
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Kawulok, President(307) 674-1744
- License
- 11988.1019 (WY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-22
- Last updated
- 2012-11-09
Frequently asked questions
- What is Goose Creek Family Practice, P.C.'s NPI number?
- Goose Creek Family Practice, P.C.'s National Provider Identifier (NPI) is 1134407356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Goose Creek Family Practice, P.C.?
- Goose Creek Family Practice, P.C. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Goose Creek Family Practice, P.C. located?
- Goose Creek Family Practice, P.C.'s practice location on file with NPPES is 304 Coffeen Ave, Sheridan, WY 82801-4803.
- What is Goose Creek Family Practice, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Goose Creek Family Practice, P.C. is (307) 674-1744.
- Does Goose Creek Family Practice, P.C. accept Medicare?
- Goose Creek Family Practice, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Goose Creek Family Practice, P.C.?
- The authorized official listed on Goose Creek Family Practice, P.C.'s NPPES record is Debra Kawulok, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Goose Creek Family Practice, P.C.'s NPI active?
- Yes — Goose Creek Family Practice, P.C.'s NPI (1134407356) is active in the NPPES registry as of the last update on 2012-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.