Individual provider Active NPI

Rebecca Mikel Tinsley, CNP, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sundance, WY
National Provider Identifier
1194447474
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
54579 Issued in WY
Practice address
113 S. West St.
Suite a
Sundance, WY 82729-9998
Phone
(307) 363-6163
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Psychology LLC 10 clinicians

Practice addresses (Care Compare)

113 S W St
Suite a
Sundance, WY 82729-9998
Phone (307) 363-6163

115 N 7TH St
Suite 6
Spearfish, SD 57783-2710
Phone (605) 645-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, SD2 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
I20241126003798 WY Practitioner - Nurse Practitioner 9830486711 Reassigns benefits to 1 organization
I20250509002947 SD Practitioner - Nurse Practitioner 9830486711 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Wellness Connection Psychiatric/Mental Health CurrentSince Sep 17, 2024 Accepting new patients
Black Hills Psychology, LLC Psychiatric/Mental Health CurrentSince Apr 30, 2025 Accepting new patients

Locations

115 N 7th St
Ste 6
Spearfish, SD 57783
Phone (605) 645-0100

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 31210 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP003450 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 54579 WY Primary

Addresses

Primary practice location

113 S. West St.
Suite a
Sundance, WY 82729-9998

Mailing address

19 Olson Rd
Aladdin, WY 82710-9707
Phone (307) 290-2606

Other practice location 1

115 N 7th St Ste 6
Spearfish, SD 57783-2710
Phone (605) 645-0100

Other practice location 2

19 Olson Rd
Aladdin, WY 82710-9707
Phone (307) 290-2606

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1194447474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OLSON RD",
            "city": "ALADDIN",
            "state": "WY",
            "postal_code": "827109707",
            "telephone_number": "307-290-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S. WEST ST.",
            "address_2": "SUITE A",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827299998",
            "telephone_number": "307-363-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N 7th St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Spearfish",
            "state": "SD",
            "postal_code": "577832710",
            "country_code": "US",
            "telephone_number": "605-645-0100",
            "fax_number": "605-717-1009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Olson Rd",
            "address_purpose": "LOCATION",
            "city": "Aladdin",
            "state": "WY",
            "postal_code": "827109707",
            "country_code": "US",
            "telephone_number": "307-290-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "REBECCA",
        "middle_name": "MIKEL",
        "credential": "CNP, DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WY",
            "license": "31210",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP003450",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "54579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sundance, WY

Sources for this page

Verify at the official NPI Registry.