Sublette County Hospital District
A Medicare group practice based in Pinedale, WY: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 5496163461), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5496163461
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WY
- Enrollments
- 4
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210518002474 | WY | Part B Supplier - Clinic/Group Practice | 1104410596 |
| O20210526003401 | WY | Part B Supplier - Ambulance Service Supplier | 1205420601 |
| O20260123002149 | WY | Part A Provider - Critical Access Hospital | 1598577611 |
| O20240214002826 | WY | Part A Provider - Skilled Nursing Facility | 1689448748 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Sublette County Hospital District
dba Pinedale Medical Clinic
- Family Medicine Physician
- Pinedale, WY
- NPI 1104410596
-
Sublette County Hospital District
dba Sublette County Health
- Critical Access Hospital
- Pinedale, WY
- NPI 1598577611
-
Sublette County Hospital District
dba Heritage Home
- Skilled Nursing Facility
- Pinedale, WY
- NPI 1689448748
-
Sublette County Hospital District
dba Pinedale Urgent Care
- Urgent Care Clinic/Center
- Pinedale, WY
- NPI 1346927118
-
Sublette County Hospital District
dba Marbleton-Big Piney Clinic
- Family Medicine Physician
- Big Piney, WY
- NPI 1699369082
Practice locations
- Pinedale, WY4
- Big Piney, WY1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 87.33 of 100
- Quality
- 89.53
- Improvement activities
- 40
- Cost
- 71.73
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (12).
-
William David Mills Burnett, M.D.
- Family Medicine Physician
- Marbleton, WY
- NPI 1760579023
-
Andras T. Eder, MD
- Family Medicine Physician
- Pinedale, WY
- NPI 1851603146
-
Kristin Greenwald, WHNP
- Women's Health Nurse Practitioner
- Cody, WY
- NPI 1053124354
-
Ryan Grove
- Medical Physician Assistant
- Fresno, CA
- NPI 1821521659
-
Rafael Hastey, M.D.
- Internal Medicine Physician
- Madison, WI
- NPI 1871989665
-
Daryl McLaren, MD
- Emergency Medicine Physician
- Pinedale, WY
- NPI 1871971184
-
Kassandra Olson, APRN
- Acute Care Nurse Practitioner
- Salt Lake City, UT
- NPI 1194353268
-
Rauli Jo Perry, WHNP-BC
- Women's Health Nurse Practitioner
- Pinedale, WY
- NPI 1144982190
-
Tara Jane Ryan, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Jackson, WY
- NPI 1477371128
-
Jonathan R Said, PA-C
- Medical Physician Assistant
- Big Piney, WY
- NPI 1730392598
-
Kelsey Leigh Wagner, PA
- Physician Assistant
- Cheyenne, WY
- NPI 1538647631
-
Cori Wenz
- Medical Physician Assistant
- Pinedale, WY
- NPI 1609425859
-
Rex Emerson Wortham, M.D.
- Family Medicine Physician
- Pinedale, WY
- NPI 1679580492
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.