Sage Family Practice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SAGE FAMILY PRACTICE

Practice address

2360 Wetlands Dr
Sheridan, WY 82801-9059

Phone

(307) 285-7878

NPI assigned

Oct 29, 2026

Last updated

Oct 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcella Wildeman, DNP, FNP-BCNPI 1285185231

Title

Owner

Phone

(951) 316-9951

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcella Wildeman, DNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Sheridan, WY
  • NPI 1285185231

  Family

  NPD (past) Authorized official

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1093613085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "DAYTON",
            "state": "WY",
            "postal_code": "828360565",
            "telephone_number": "307-285-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 WETLANDS DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019059",
            "telephone_number": "307-285-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "WILDEMAN",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-316-9951",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Roth, RT(R)
• Melissa Cheryl Rubie, APRN, PMHNP-C
• Riley Joseph Ryan
• Safe Haven Ebehavioral Health
• Reasa Dawn Safford
• Angela Richelle Salyards
• Clinton Salyards
• Kara Jean Sampey, RN, BSN
• Kymberlie Mae Samson
• Jesse Sanders

• Family Nurse Practitioner in Sheridan, WY
• Providers in Sheridan, 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 Oct 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.