Active NPI
Alyssa Ragsdale, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Arapahoe, WY
National Provider Identifier
1487083424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 173267
- Practice address
- 14 Great Plains Rd
Arapahoe, WY 82510 - Phone
- (307) 856-9281
- NPI assigned
- Nov 8, 2013
- Last updated
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 49370 | MT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 173267 | MT | Primary |
Addresses
Primary practice location
14 Great Plains Rd
Arapahoe, WY 82510
Mailing address
PO Box 70
Lame Deer, MT 59043-0070
Phone (406) 477-4448
Other practice location 1
100 Cheyenne Ave
Lame Deer, MT 59043-9043
Phone (406) 477-4448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2210017 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
14 Great Plains Rd
Arapahoe, WY 82510-9144
Phone 3078569281119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49370 | MT | MD | Registered Nurse |
| 173267 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind River Family & Community Healthc Care | Current | Accepting new patients |
Locations
14 Great Plains Rd
Arapahoe, WY 82510
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.
-
- Federal Public Health Clinic/Center
- Arapahoe, WY
- NPI 1285006379
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1487083424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "LAME DEER",
"state": "MT",
"postal_code": "590430070",
"telephone_number": "406-477-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 GREAT PLAINS RD",
"city": "ARAPAHOE",
"state": "WY",
"postal_code": "82510",
"telephone_number": "307-856-9281"
}
],
"practiceLocations": [
{
"address_1": "100 Cheyenne Ave",
"address_purpose": "LOCATION",
"city": "Lame Deer",
"state": "MT",
"postal_code": "590439043",
"country_code": "US",
"telephone_number": "406-477-4448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAGSDALE",
"first_name": "ALYSSA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2021-08-10",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "49370",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MT",
"license": "173267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2210017",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arapahoe, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.