Active NPI
Laurie G Johnson, PAC
- Physician Assistant
- Casper, WY
National Provider Identifier
1316954688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 228
- Practice address
- 6501 E 2ND St
Casper, WY 82609-4293 - Phone
- (307) 235-5433
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 228 | WY | Primary |
Addresses
Primary practice location
6501 E 2ND St
Casper, WY 82609-4293
Mailing address
104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311524 | Other | WY | BLUE SHIELD |
| 82601D033 | Other | WY | WPS TRIWEST |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1233 E 2ND St
Casper, WY 82601-2926
6501 E 2ND St
Casper, WY 82609-4293
Phone (307) 235-5433
Hospital & facility affiliations
- Banner Wyoming Medical Center
- Memorial Hospital of Converse County
- Platte County Hospital
- Niobrara County Hospital District
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.42 of 100
- Quality
- 84.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- laurie.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.
-
- Hematology & Oncology Physician
- Casper, WY
- NPI 1003862723
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- Critical Access Hospital
- Lusk, WY
- NPI 1427091347
-
- Critical Access Hospital
- Guernsey, WY
- NPI 1265469506
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1316954688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WOODMONT BLVD STE 500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094293",
"telephone_number": "307-235-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAURIE",
"middle_name": "G",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "311524",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRIWEST",
"identifier": "82601D033",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.