Individual provider Active NPI

Marsha Renee Johnson, FNP BC

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1164679254
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16690.0271 Issued in WY
Practice address
1450 E a St
Casper, WY 82601-2239
Phone
(307) 234-8700
Fax
(307) 234-8750
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 16690.0271 WY Primary

Addresses

Primary practice location

1450 E a St
Casper, WY 82601-2239

Mailing address

1450 E a St
Casper, WY 82601-2239
Phone (307) 234-8700

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
I20131120000227 WY Practitioner - Nurse Practitioner 9133203375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Infectious DiseasesGroup PAC ID 6608862354, 6 clinicians

Practice addresses (Care Compare)

1450 E a St
Suite 1
Casper, WY 82601-2239
Phone 30723487003

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Sagewest Health Care Hospital, Riverton, WY, CCN 530008
  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302

Merit-based Incentive Payment System (MIPS)

Final score
97.78 of 100Reported as group
Quality
91.26
Improvement activities
40
Cost
77.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16690.0271WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Infectious Diseases CurrentSince May 5, 2013 Accepting new patients

Locations

1450 E A St
Ste 12
Casper, WY 82601

1450 E A St
Ste 1
Casper, WY 82601
Phone (307) 234-8700

1450 E A St
Casper, WY 82601
Phone (307) 235-1503

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/58a432b4-e1e9-4961-babc-ff3b87eb8606/
  • Direct secure messaging: marsha.johnson@direct.wyomingmedicalcenter.org

Organizations & group practices 1

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 6

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1164679254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012239",
            "telephone_number": "307-234-8700",
            "fax_number": "307-234-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012239",
            "telephone_number": "307-234-8700",
            "fax_number": "307-234-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARSHA",
        "middle_name": "RENEE",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "16690.0271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.