Individual provider Active NPI

Jonna Wray Cubin, M.D.

  • Emergency Medicine Physician
  • Casper, WY
National Provider Identifier
1013043835
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7914A Issued in WY
Practice address
1233 E 2ND St
Casper, WY 82601-2926
Phone
(307) 333-6910
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7914A WY
Emergency Medicine Physician 207P00000X 7914A WY Primary

Addresses

Primary practice location

1233 E 2ND St
Casper, WY 82601-2926

Mailing address

PO Box 50770
Casper, WY 82605-0770
Phone (307) 333-6910

Other names 1

  • Dr. Jonna Wray Graves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000799 WY Practitioner - Internal MedicinePractitioner - Emergency Medicine 2860566361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medical Physicians PCGroup PAC ID 4385771757, 13 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (307) 577-7201

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as group
Quality
90.63
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7914AWYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Physicians PC Emergency Medicine CurrentSince Jul 4, 2011 Accepting new patients
Emergency Medical Physicians PC Emergency Medicine CurrentSince Jul 4, 2011 Accepting new patients
Intrawest Medical Services, P.C Past Accepting new patients

Locations

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • Direct secure messaging: jonna.cubin@direct.wyomingmedicalcenter.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1013043835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50770",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826050770",
            "telephone_number": "307-333-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012926",
            "telephone_number": "307-333-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBIN",
        "first_name": "JONNA",
        "middle_name": "WRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "7914A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "7914A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONNA",
            "last_name": "GRAVES",
            "middle_name": "WRAY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.