Individual provider Active NPI

Mark D. Vuolo, M.D.

  • Psychiatry Physician
  • Casper, WY
National Provider Identifier
1104047547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5266A Issued in WY
Practice address
300 S Wolcott St
Suite 330
Casper, WY 82601-2862
Phone
(307) 266-6244
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5266A WY Primary

Addresses

Primary practice location

300 S Wolcott St
Suite 330
Casper, WY 82601-2862

Mailing address

300 S Wolcott St
Suite 330
Casper, WY 82601-2862
Phone (307) 266-6244

Other identifiers 1

IdentifierTypeStateIssuer
305540OtherWYBCBS

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
I20110104001297 WY Practitioner - Psychiatry 2163488222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Illinois Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wyoming Counseling CenterGroup PAC ID 7416270939, 20 clinicians

Practice addresses (Care Compare)

1430 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 237-9583

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5266AWYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Counseling Center CurrentSince Jan 1, 2025 Accepting new patients
Central Wyoming Counseling Center Current Accepting new patients
Natrona County Behavioral Health Past Accepting new patients

Locations

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

1440 Wilkins Cir
Casper, WY 82601
Phone (307) 237-1800

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104047547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WOLCOTT ST",
            "address_2": "SUITE 330",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012862",
            "telephone_number": "307-266-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WOLCOTT ST",
            "address_2": "SUITE 330",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012862",
            "telephone_number": "307-266-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUOLO",
        "first_name": "MARK",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "5266A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "305540",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.