Active NPI
Mandy Jarvis, APRN
- Family Nurse Practitioner
- Rock Springs, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 44162
- Practice address
- 120 Winston Dr Ste 101
Rock Springs, WY 82901-5833 - Phone
- (307) 352-9602
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5244410-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 44162 | WY | Primary |
Addresses
Primary practice location
120 Winston Dr Ste 101
Rock Springs, WY 82901-5833
Mailing address
120 Winston Dr Ste 101
Rock Springs, WY 82901-5833
Phone (307) 352-9602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
770 S Washington St
Suite B
Afton, WY 83110-5135
Phone (888) 253-6598
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.39 of 100
- Quality
- 74.38
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5244410-4405 | UT | MD | Family Nurse Practitioner |
| 44162 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mavie LLC | Current | Accepting new patients | |
| Loko LLC/ Dba Elements Integrative Wellness Center | Current | Accepting new patients | |
| PPM Wyoming LLC | Current | Accepting new patients |
Locations
943 W Overland Rd
Meridian, ID 83642
Phone (208) 519-9102
1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221
180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731
770 S Washington St
#B
Afton, WY 83110
Phone (307) 885-7583
5830 E 2nd St
Casper, WY 82609
Phone (929) 282-4020
120 Winston Dr
Ste 101
Rock Springs, WY 82901
Phone (307) 352-9602
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Afton, WY
- NPI 1366289290
-
dba Elements Integrative Wellness Center
- Integrative Medicine Physician
- Rock Springs, WY
- NPI 1487452413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba County of Sweetwater
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1366903445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WINSTON DR STE 101",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015833",
"telephone_number": "307-352-9602",
"fax_number": "866-422-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WINSTON DR STE 101",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015833",
"telephone_number": "307-352-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "MANDY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5244410-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "44162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.