Active NPI
Deseriee Stofferahn
- Gerontology Nurse Practitioner
- Rock Springs, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 49265
- Practice address
- 3000 College Dr
Rock Springs, WY 82901-4202 - Phone
- (307) 212-7708
- NPI assigned
- Jan 24, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 49265 | WY | |
| Gerontology Nurse Practitioner | 363LG0600X | 49265 | WY | Primary |
Addresses
Primary practice location
3000 College Dr
Rock Springs, WY 82901-4202
Mailing address
3000 College Dr
Rock Springs, WY 82901-4202
Phone (307) 212-7708
Other practice location 1
1325 Sage St
Rock Springs, WY 82901-7478
Phone (801) 215-9309
Other names 1
- Deseriee Padilla
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
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1325 Sage St
Rock Springs, WY 82901-7478
Phone (801) 215-9309
3000 College Dr
Rock Springs, WY 82901-4202
Phone (307) 352-8125
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.04 of 100
- Quality
- 64.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49265 | WY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| SNF Wound Care | Current | Accepting new patients | |
| Post Acute Rehabilitation Physicians LLC | Current | Accepting new patients |
Locations
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
3000 College Dr
Rock Springs, WY 82901
Phone (307) 212-7708
1325 Sage St
Rock Springs, WY 82901
Phone (307) 362-2877
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
Organizations & group practices 4
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.
-
dba County of Sweetwater
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
WY
-
dba County of Sweetwater
- Internal Medicine Physician
- Rock Springs, WY
- NPI 1437312436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rocky Mountain Home Care - Green River
- Home Health Agency
- Green River, WY
- NPI 1811994122
-
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": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1457003139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014202",
"telephone_number": "307-212-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829014202",
"telephone_number": "307-212-7708"
}
],
"practiceLocations": [
{
"address_1": "1325 Sage St",
"address_purpose": "LOCATION",
"city": "Rock Springs",
"state": "WY",
"postal_code": "829017478",
"country_code": "US",
"telephone_number": "801-215-9309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOFFERAHN",
"first_name": "DESERIEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "49265",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WY",
"license": "49265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESERIEE",
"last_name": "PADILLA",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 10, 2026; 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.