Individual provider Active NPI

Martha Jo Wilson, FNP-C

  • Nurse Practitioner
  • Casper, WY
National Provider Identifier
1144726670
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1741 Issued in WY
Practice address
2546 E 2ND St Ste 200
Casper, WY 82609-2062
Phone
(307) 265-1110
Fax
(307) 265-1108
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1741 WY Primary
Family Nurse Practitioner 363LF0000X 1741 WY

Addresses

Primary practice location

2546 E 2ND St Ste 200
Casper, WY 82609-2062

Mailing address

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone (307) 265-7205

Other names 1

  • Marty J Wilson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180813002158 WY Practitioner - Nurse Practitioner 6103174875 Reassigns benefits to 1 organization
I20260409003497 UT Practitioner - Nurse Practitioner 6103174875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

450 W Williams Way
Moab, UT 84532-2185

715 Horizon Dr
Grand Junction, CO 81506-8759

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1741WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC Nurse Practitioner CurrentSince Jan 8, 2024 Accepting new patients
Hometown Medical Clinic P.C. Family Medicine CurrentSince May 4, 2020 Accepting new patients
Casper Orthopaedic Associates PC CurrentSince Jan 8, 2024 Accepting new patients

Locations

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

2546 E 2nd St
Ste 200
Casper, WY 82609
Phone (307) 265-1110

719 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-2182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24884/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1144726670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST STE 200",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092062",
            "telephone_number": "307-265-1110",
            "fax_number": "307-265-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARTHA",
        "middle_name": "JO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "1741",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTY",
            "last_name": "WILSON",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.