Sally Rafert, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

55013 Issued in WY

Practice address

204 McCollum St Ste 104
Laramie, WY 82070-5151

Phone

(307) 745-0085

NPI assigned

Jul 3, 2023

Last updated

Apr 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CO, WY3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8515/brand/1/csg/1/fhir/r4

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

• Grant County Public Hospital District No 5

  dba Mattawa Community Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Mattawa, WA
  • NPI 1699720797

  Single Specialty

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO, Single Specialty

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Single Specialty, WY

  Medicare reassignment NPD
• Family Care Clinic, LLC

  • Primary Care Clinic/Center
  • Laramie, WY
  • NPI 1285777607

  Single Specialty

  NPD
• Grant County Public Hospital District No 5

  dba Mattawa Community Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Mattawa, WA
  • NPI 1013743210
  NPD

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1053098749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 BASTION RD",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708236",
            "telephone_number": "307-745-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST STE 104",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705151",
            "telephone_number": "307-745-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFERT",
        "first_name": "SALLY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "55013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Quinn, LPC, PHD
• Gilbert Quintana
• Kyrrah Rabago
• Amer Raddaoui
• Daniel George Radosevich, MD
• Thomas E Raines, DDS
• Jacquelyn Ralph, PPC
• Victoria Ramos
• Troy Ramsey
• Ryan Leigh Randall-Brost, PHARMD

• Family Nurse Practitioner in Laramie, WY
• Providers in Laramie, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.