Individual provider Active NPI

Betty Jo Reynolds, APRN-C

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1548934409
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
47567 Issued in WY
Practice address
2210 King Blvd
Casper, WY 82604-3165
Phone
(307) 577-4240
Fax
(307) 577-0012
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 47567 WY Primary

Addresses

Primary practice location

2210 King Blvd
Casper, WY 82604-3165

Mailing address

2210 King Blvd
Casper, WY 82604-3165
Phone (307) 577-4240

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
I20220202001091 WY Practitioner - Nurse Practitioner 2062805716 Reassigns benefits to 1 organization

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
Wyoming Otolaryngology, P.C.Group PAC ID 4082696570, 6 clinicians

Practice addresses (Care Compare)

2210 King Blvd
Casper, WY 82604-3165
Phone (307) 577-4240

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
98.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
95.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
47567WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Otolaryngology, P.C. CurrentSince Jul 28, 2024 Accepting new patients
Wyoming Otolaryngology, P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

2210 King Blvd
Casper, WY 82604
Phone (307) 577-4240

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 1

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1548934409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043165",
            "telephone_number": "307-577-4240",
            "fax_number": "307-577-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043165",
            "telephone_number": "307-577-4240",
            "fax_number": "307-577-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BETTY",
        "middle_name": "JO",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "47567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.