Active NPI
Ryan Edward Russi-Myers, FNP
- Family Nurse Practitioner
- Laramie, WY
National Provider Identifier
1295348167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 48439
- Practice address
- 3114 Willett Dr
Laramie, WY 82072 - Phone
- (307) 755-4540
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Laramie, WY
- NPI 1033628599
-
- Emergency Medicine Physician
- Cheyenne, WY
- NPI 1457802993
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1366626269
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1336289552
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1912181827
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laramie, WY
- NPI 1952585861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1336289552
Care Compare affiliation Hospital
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group LLC
Ivinson Memorial Hospital
Practice addresses (Care Compare)
255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2141
Hospital & facility affiliations
- Ivinson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.68 of 100
- Quality
- 75.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211008002705 | WY | Practitioner - Nurse Practitioner | 6204234040 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48439 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, LLC | Current |
Accepting new patients | |
| Ivinson Memorial Hospital | Current |
Accepting new patients | |
| Ivinson Memorial Hospital | Current |
Accepting new patients | |
| Ivinson Memorial Hospital | Past | Accepting new patients |
Locations
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 48439 | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3114 Willett Dr
Laramie, WY 82072
Mailing address
1412 S 17TH St Apt C
Laramie, WY 82070-4493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2023.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1295348167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 S 17TH ST APT C",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820704493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 WILLETT DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82072",
"telephone_number": "307-755-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSI-MYERS",
"first_name": "RYAN",
"middle_name": "EDWARD",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2023-10-02",
"certification_date": "2023-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "48439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.