Individual provider Active NPI

Tara Blumenshine, APRN, CNM FNP

  • Family Nurse Practitioner
  • Riverton, WY
National Provider Identifier
1588026009
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1505 Issued in WY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161220000412 WY Practitioner - Certified Nurse Midwife (CNM) 8628359262 Reassigns benefits to 2 organizations
I20230130001420 WY Practitioner - Nurse Practitioner 8628359262 Reassigns benefits to 1 organization

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
Hometown Freedom Healthcare LLCGroup PAC ID 0042688822, 4 clinicians

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

LicenseStateTypeSpecialty
1505WYMDFamily Nurse Practitioner
28234-1505WYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Freedom Healthcare, LLC CurrentSince Jan 19, 2022 Accepting new patients
Community Health Center of Central Wyoming Inc CurrentSince Oct 4, 2016 Accepting new patients
Community Health Center of Central Wyoming, Inc. Current Accepting new patients
Hot Springs County Hospital District CurrentSince Jul 1, 2020 Accepting new patients
Hot Springs County Hospital District CurrentSince Jul 1, 2020 Accepting new patients
Ralph E Hopkins MD PC PastSince Jan 9, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.