Jacob Robert Jamsa, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

50795 Issued in WY

Practice address

1400 Uinta Dr
Green River, WY 82935-5060

Phone

(307) 872-4500

NPI assigned

Sep 1, 2022

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner

Education

Other, 2022

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

• Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Castle Rock Special Hospital District

  dba Castle Rock Hospital District

  • Family Medicine Physician
  • Green River, WY
  • NPI 1740206382
  Medicare reassignment Care Compare group NPD
• Castle Rock Special Hospital District

  • Radiologic Technologist
  • Green River, WY
  • NPI 1649326687
  NPD

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

• Memorial Hospital of Sweetwater County

  dba County of Sweetwater

  • Critical Access Hospital
  • Rock Springs, WY
  • NPI 1558361949
  Care Compare affiliation

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1346960085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829350219",
            "telephone_number": "307-872-4500"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Coffeen Ave Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828015777",
            "country_code": "US",
            "telephone_number": "801-995-9183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMSA",
        "first_name": "JACOB",
        "middle_name": "ROBERT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6200065-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "50795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homestead Care Services LLC.
• Cathie L. Hughes, M.A., M.C.J.
• Garrett Blake Hybarger, DPT
• Ihc Health Services Inc (IMED Heart - Green River)
• Jennifer L James, APRN, DNP
• Diane Janicki, R.P.T
• Marya Nicole Johns
• Ann Florence Jones
• K-Pack Pharmacy
• Keane Alternatives, LLC

• Nurse Practitioner in Green River, WY
• Providers in Green River, WY by specialty
• Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.