Individual provider Active NPI

Alyssa Ragsdale, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arapahoe, WY
National Provider Identifier
1487083424
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
173267 Issued in MT
Practice address
14 Great Plains Rd
Arapahoe, WY 82510
Phone
(307) 856-9281
NPI assigned
Nov 8, 2013
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2210017MedicaidMT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000046 TX Practitioner - Nurse Practitioner 0446648117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Wind River Family and Community Healthc CareGroup PAC ID 1850683780, 42 clinicians

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

LicenseStateTypeSpecialty
49370MTMDRegistered Nurse
173267MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wind River Family & Community Healthc Care CurrentSince Sep 26, 2021 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.

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

Verify at the official NPI Registry.