Individual provider Active NPI

Jane T. Fleming, NP-C

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1104126358
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17597.1071 Issued in WY
Practice address
2241 Farnum St
Suite 102
Casper, WY 82609-2900
Phone
(307) 315-6133
Fax
(307) 315-6134
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17597.1071 WY Primary

Addresses

Primary practice location

2241 Farnum St
Suite 102
Casper, WY 82609-2900

Mailing address

2241 Farnum St
Suite 102
Casper, WY 82609-2900
Phone (307) 315-6133

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
I20101222000500 WY Practitioner - Nurse Practitioner 7517155229 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17597.1071WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Family Medicine LLC CurrentSince Jul 21, 2015 Accepting new patients
Instacare Center of Wyoming - West, Inc Past Accepting new patients

Locations

5840 E 2nd St
Ste 200
Casper, WY 82609
Phone (307) 315-6133

2241 Farnum St
Ste 102
Casper, WY 82609
Phone (307) 262-3309

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20070/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jane.fleming@direct.wyomingmedicalcenter.org
  • Direct secure messaging: jfleming@yourcarecommunity.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.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1104126358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 FARNUM ST",
            "address_2": "SUITE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092900",
            "telephone_number": "307-315-6133",
            "fax_number": "307-315-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 FARNUM ST",
            "address_2": "SUITE 102",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092900",
            "telephone_number": "307-315-6133",
            "fax_number": "307-315-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JANE",
        "middle_name": "T.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "17597.1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.