Active NPI
Martha Jo Wilson, FNP-C
- Nurse Practitioner
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1741
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1741 | WY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casper Orthopaedic Associates PC | Nurse Practitioner | Current | Accepting new patients |
| Hometown Medical Clinic P.C. | Family Medicine | Current | Accepting new patients |
| Casper Orthopaedic Associates PC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Casper, WY
- NPI 1962494864
Nurse Practitioner
-
- Critical Access Hospital
- Moab, UT
- NPI 1770513236
-
- Durable Medical Equipment & Medical Supplies
- Douglas, WY
- NPI 1912622721
-
- Family Medicine Physician
- Newcastle, WY
- NPI 1548821507
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Moab, UT
- NPI 1770513236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.