Active NPI
Tara Blumenshine, APRN, CNM FNP
- Family Nurse Practitioner
- Riverton, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1505
- Practice address
- 705 E Washington Ave
Riverton, WY 82501-4452 - Phone
- (307) 463-0541
- Fax
- (307) 463-0541
- NPI assigned
- Mar 23, 2016
- Last updated
- Aug 26, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1505 | WY | Primary |
| Advanced Practice Midwife | 367A00000X | 28234-1505 | WY |
Addresses
Primary practice location
705 E Washington Ave
Riverton, WY 82501-4452
Mailing address
705 E Washington Ave
Riverton, WY 82501-4452
Phone (307) 463-0541
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 N 5TH St E
Riverton, WY 82501-4402
Phone (307) 463-0541
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1505 | WY | MD | Family Nurse Practitioner |
| 28234-1505 | WY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Freedom Healthcare, LLC | Current | Accepting new patients | |
| Community Health Center of Central Wyoming Inc | Current | Accepting new patients | |
| Community Health Center of Central Wyoming, Inc. | Current | Accepting new patients | |
| Hot Springs County Hospital District | Current | Accepting new patients | |
| Hot Springs County Hospital District | Current | Accepting new patients | |
| Ralph E Hopkins MD PC | Past | Accepting new patients |
Locations
5000 Blackmore Rd
Casper, WY 82609
Phone (307) 233-6000
1035 Rose Ln
Riverton, WY 82501
Phone (307) 463-6300
705 E Washington Ave
Riverton, WY 82501
Phone (307) 463-0541
150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121
Interoperability endpoints
- tblumenshine@hscmh.cernerdirect.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Riverton, WY
- NPI 1093447021
-
- Federally Qualified Health Center (FQHC)
- Casper, WY
- NPI 1447480561
-
- Critical Access Hospital
- Thermopolis, WY
- NPI 1861550642
-
dba Dubois Medical Clinic
- Federally Qualified Health Center (FQHC)
- Dubois, WY
- NPI 1306136205
-
dba Hot Springs Health Riverton
- Rural Health Clinic/Center
- Riverton, WY
- NPI 1841814084
-
- Urology Physician
- Riverton, WY
- NPI 1750378980
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SageWest Health Care
- Rural Acute Care Hospital
- Lander, WY
- NPI 1245337286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1588026009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E WASHINGTON AVE",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825014452",
"telephone_number": "307-463-0541",
"fax_number": "307-630-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E WASHINGTON AVE",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825014452",
"telephone_number": "307-463-0541",
"fax_number": "307-463-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENSHINE",
"first_name": "TARA",
"credential": "APRN, CNM FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "1505",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WY",
"license": "28234-1505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.