Active NPI
Jamie Marie Wilder, FNP-BC
- Family Nurse Practitioner
- Cheyenne, WY
National Provider Identifier
1457929945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 50837
- Practice address
- 2030 Bluegrass Cir
Cheyenne, WY 82009-7328 - Phone
- (307) 635-3500
- NPI assigned
- Jun 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 50837 | WY | Primary |
Addresses
Primary practice location
2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Mailing address
2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Phone (307) 635-3500
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Other | |
| Other URL | n/a | Other |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221102000543 | WY | Practitioner - Nurse Practitioner | 7911270244 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1760 Prairie Ave
Suite 100
Cheyenne, WY 82009-4833
Phone (503) 349-5088
Hospital & facility affiliations
- Cheyenne Regional Medical Center
- Poudre Valley Hospital
- Community Hospital
- Platte County Hospital
- Kimball Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50837 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne Regional Physicians Group, LLC | Multi-Specialty | Current | Accepting new patients |
| College Drive Urgent Care LLC | Multi-Specialty | Current | Accepting new patients |
| Medi Horizons Inc | Multi-Specialty | Past | Accepting new patients |
Locations
2301 House Ave
Ste 301
Cheyenne, WY 82001
Phone (307) 637-1600
4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311
2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500
Interoperability endpoints
- warmvalleynephrologyclinic.jamiewilder@160541.advancedmd-direct.com
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.
-
- Nephrology Physician
- Cheyenne, WY
- NPI 1740090208
-
- Medical Oncology Physician
- Cheyenne, WY
- NPI 1659458008
Multi-Specialty
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Torrington, WY
- NPI 1669410643
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
-
- Critical Access Hospital
- Guernsey, WY
- NPI 1265469506
-
- Critical Access Hospital
- Kimball, NE
- NPI 1093780652
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1679419808
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1962158857
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1073172094
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1093374001
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1093374092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1457929945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 BLUEGRASS CIR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820097328",
"telephone_number": "307-635-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 BLUEGRASS CIR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820097328",
"telephone_number": "307-635-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "JAMIE",
"middle_name": "MARIE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "50837",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "5111 Griffith Ave",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820095508",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "2030 Bluegrass Cir",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820097328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.