Joel Robertson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1400 Uinta Dr
Green River, WY 82935-5060

Phone

(307) 872-4500

Fax

(307) 872-4595

NPI assigned

Aug 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Castle Rock Special Hospital DistrictGroup PAC ID 2466340138, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rocky Mountain Home Care-Green River Home health agency, Green River, WY, CCN 537302
• Symbii Home Health Home health agency, Afton, WY, CCN 537073
• Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Castle Rock Special Hospital District

  • Family Medicine Physician
  • Green River, WY
  • NPI 1740206382

  WY

  Medicare reassignment Care Compare group
• Castle Rock Special Hospital District

  • Radiologic Technologist
  • Green River, WY
  • NPI 1649326687
  NPD
• Castle Rock Special Hospital District

  • Public Health & General Preventive Medicine Physician
  • Green River, WY
  • NPI 1013057173
  NPD (past)

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

• Bcbu, Inc.

  • Home Health Agency
  • Green River, WY
  • NPI 1811994122
  Care Compare affiliation
• Memorial Hospital of Sweetwater County

  • Critical Access Hospital
  • Rock Springs, WY
  • NPI 1558361949

  Hospital

  Care Compare affiliation
• Star Valley Healthcare, Inc.

  • Home Health Agency
  • Afton, WY
  • NPI 1073090585
  Care Compare affiliation

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1215285366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 ILLINOIS CT",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829356131",
            "telephone_number": "307-399-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 UINTA DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355060",
            "telephone_number": "307-872-4500",
            "fax_number": "307-872-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Marlyce Rawlings, MS, LPC
• Phillip Greg Reasch, RPH
• RMC Personal Care, LLC
• Rmce Wyoming Home Health and Hospice LLC
• Rmce Wyoming Home Health and Hospice LLC
• Scott Wesley Robertson, OD
• Lorrene Dannielle Sandbak
• SD Health Services LLC
• SD Health Services LLC
• Kristine F Sherwin, PA-C

• All providers in Green River, WY
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.