Individual provider Active NPI

Rickay Marie Wolf, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1023486016
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
49878 Issued in WY
Practice address
623 N Commercial Dr
Gillette, WY 82716-2555
Phone
(307) 363-5930
Fax
(888) 720-0569
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 35906 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 49878 WY Primary

Addresses

Primary practice location

623 N Commercial Dr
Gillette, WY 82716-2555

Mailing address

623 N Commercial Dr
Gillette, WY 82716-2555
Phone (307) 363-5930

Other practice location 1

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-5000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902001215 WY Practitioner - Nurse Practitioner 5496139867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
49878WYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Sep 6, 2022 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Sep 6, 2022 Accepting new patients
Center for Solutions, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

400 S Miller Ave
Gillette, WY 82716
Phone (307) 363-5930

623 N Commercial Dr
Gillette, WY 82716
Phone (307) 363-5930

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1023486016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N COMMERCIAL DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162555",
            "telephone_number": "307-363-5930",
            "fax_number": "888-720-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N COMMERCIAL DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162555",
            "telephone_number": "307-363-5930",
            "fax_number": "888-720-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Burma Ave",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163426",
            "country_code": "US",
            "telephone_number": "307-688-5000",
            "fax_number": "307-688-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "RICKAY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "35906",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "49878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.