Individual provider Active NPI

Sarah Michele Peak, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Casper, WY
National Provider Identifier
1457054280
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
51669 Issued in WY
Practice address
940 E 3Rd St Ste 205
Casper, WY 82601-3251
Phone
(307) 243-5370
Fax
(307) 243-5372
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 51669 WY
Primary Care Nurse Practitioner 363LP2300X 51669 WY
Nurse Practitioner 363L00000X 51669 WY Primary

Addresses

Primary practice location

940 E 3Rd St Ste 205
Casper, WY 82601-3251

Mailing address

940 E 3Rd St Ste 205
Casper, WY 82601-3251
Phone (307) 243-5370

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
I20230928003674 WY Practitioner - Nurse Practitioner 4183087653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyocity Medical Group LLCGroup PAC ID 3274996749, 2 clinicians

Practice addresses (Care Compare)

940 E 3Rd St
Suite 205
Casper, WY 82601-3251
Phone (307) 243-5370

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Summit Medical Center Hospital, Casper, WY, CCN 530034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
51669WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyocity Medical Group LLC CurrentSince Jun 12, 2023 Accepting new patients
Casper Children'S Center, LLC PastSince Jul 18, 2023 Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

940 E 3rd St
Ste 205
Casper, WY 82601
Phone (307) 243-5370

Interoperability endpoints

  • Direct secure messaging: sarah.peak@571839876104196.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
All About Family, IncCasper, WY, CCN 537081 Home health agency Corporate Director Aug 22, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1457054280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 205",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-243-5370",
            "fax_number": "307-243-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 205",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-243-5370",
            "fax_number": "307-243-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "SARAH",
        "middle_name": "MICHELE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "51669",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WY",
            "license": "51669",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "51669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.