Individual provider Active NPI

Sara Marie Thronburg, MSN, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Douglas, WY
National Provider Identifier
1225662216
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
45497 Issued in WY
Practice address
111 S 5TH St
Douglas, WY 82633-2434
Phone
(307) 262-2860
NPI assigned
Feb 27, 2020
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 45497 WY Primary

Addresses

Primary practice location

111 S 5TH St
Douglas, WY 82633-2434

Mailing address

111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 262-2860

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
I20200413003035 WY Practitioner - Nurse Practitioner 0840620951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians

Practice addresses (Care Compare)

6500 E 2ND St
Casper, WY 82609-4338
Phone (307) 577-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Converse County CurrentSince Apr 1, 2020 Accepting new patients
Summit Memorial Medical Group LLC CurrentSince Jul 1, 2024 Accepting new patients
Lander Medical Clinic, PC Past Accepting new patients

Locations

6500 E 2nd St
Casper, WY 82609
Phone (307) 235-4180

6500 E 2nd St
Ste 200
Casper, WY 82609
Phone (307) 577-5100

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

222 S 5th St
Douglas, WY 82633
Phone (307) 286-6738

700 E Center St
Douglas, WY 82633
Phone (307) 358-7300

2901 Powder Basin Ave
Gillette, WY 82718
Phone (307) 358-6200

745 Buena Vista Dr
Lander, WY 82520
Phone (307) 332-2941

219 S 2nd St W
Riverton, WY 82501
Phone (307) 856-6591

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2483/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1225662216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-262-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-262-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRONBURG",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WY",
            "license": "45497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

Verify at the official NPI Registry.