Individual provider Active NPI

Nuttiraporn Hanson

  • Acute Care Nurse Practitioner
  • Casper, WY
National Provider Identifier
1407536667
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
52799 Issued in WY
Practice address
1230 E 1St St
Casper, WY 82601-2704
Phone
(907) 266-3174
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 52799 WY Primary

Addresses

Primary practice location

1230 E 1St St
Casper, WY 82601-2704

Mailing address

1230 E 1St St
Casper, WY 82601-2704
Phone (907) 266-3174

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
I20230926002086 WY Practitioner - Nurse Practitioner 1355795212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Aurora, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming Cardiopulmonary Services PCGroup PAC ID 9830172261, 11 clinicians

Practice addresses (Care Compare)

1230 E 1St St
Casper, WY 82601-2704
Phone (307) 266-3174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.27 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
59.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Cardiopulmonary Services, PC CurrentSince Sep 12, 2023 Accepting new patients

Locations

1230 E 1st St
Casper, WY 82601
Phone (307) 266-3174

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10047848

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

Hospital & facility affiliations 5

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1407536667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012704",
            "telephone_number": "907-266-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012704",
            "telephone_number": "907-266-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "NUTTIRAPORN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WY",
            "license": "52799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.