Rauli Jo Perry, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

54282 Issued in WY

Practice address

625 E Hennick St
Pinedale, WY 82941-5228

Phone

(307) 367-4133

Fax

(307) 367-6636

NPI assigned

Oct 7, 2021

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Canyon Medical Center IncGroup PAC ID 0941371439, shared by 7 NPIs, 73 clinicians

Sublette County Hospital DistrictGroup PAC ID 5496163461, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sublette County Health Hospital, Pinedale, WY, CCN 530038
• CCN 531320 Hospital, CCN 531320
• North Canyon Medical Center Hospital, Gooding, ID, CCN 131302
• St Johns Medical Center Hospital, Jackson, WY, CCN 530015

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rperry777617@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sublette County Hospital District

  dba Pinedale Medical Clinic

  • Family Medicine Physician
  • Pinedale, WY
  • NPI 1104410596
  Medicare reassignment Care Compare group NPD
• Sublette County Hospital District

  dba Pinedale Urgent Care

  • Urgent Care Clinic/Center
  • Pinedale, WY
  • NPI 1346927118
  NPD
• St Luke's Clinic LLC

  dba St Lukes Clinic - Magic Valley/Jerome

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1790718229
  NPD
• St Luke's Magic Valley Regional Medical Center LTD

  dba St Lukes Retail Pharmacy Twin Falls

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

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

• Sublette County Hospital District

  dba Sublette County Health

  • Critical Access Hospital
  • Pinedale, WY
  • NPI 1598577611
  Care Compare affiliation
• Teton County Hospital District

  dba St John's Medical Center/ or St John's Health

  • General Acute Care Hospital
  • Jackson, WY
  • NPI 1801835475
  Care Compare affiliation
• North Canyon Medical Center Inc.

  dba North Canyon Medical Center

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Care Compare affiliation

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1144982190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1333",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829411333",
            "telephone_number": "208-404-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E HENNICK ST",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829415228",
            "telephone_number": "307-367-4133",
            "fax_number": "307-367-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 South Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "WY",
            "postal_code": "82941",
            "country_code": "US",
            "telephone_number": "208-404-5228",
            "fax_number": "208-352-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RAULI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "53557",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WY",
            "license": "54282",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "215881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Hearing Centers, LLC
• Terri Dever Neal, MPT
• Andrew G Nelson, DC
• Megan Elizabeth O'Brien, MSW, LCSW
• Shanna Pearce
• Pinedale Chiropractic Center P.C.
• Pinedale Dental
• Precise Mind Behavioral LLC
• Aaron J. Preece, LPC
• Proactive Physical Therapy PC (Proactive Rehabilitation)

• Women's Health Nurse Practitioner in Pinedale, WY
• Providers in Pinedale, WY by specialty
• Women's Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.

Verify at the official NPI Registry.