Organization Active NPI

A Beautiful Mind LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Casper, WY
National Provider Identifier
1639701899
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A BEAUTIFUL MIND LLC
Practice address
145 S Durbin St Ste 301
Casper, WY 82601-2567
Phone
(307) 337-1173
Fax
(307) 337-1221
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Michelle Lee Hipsak, DNP, APRN, PMHNP-BCNPI 1134694383
Title
Owner/Provider
Phone
(307) 337-1173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

145 S Durbin St Ste 301
Casper, WY 82601-2567

Mailing address

145 S Durbin St Ste 207
Casper, WY 82601-2566
Phone (307) 337-1173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200305000837 WY Part B Supplier - Clinic/Group Practice 5496182321 Receives reassigned benefits from 2 practitioners
Practice locations: Casper, WY

National Provider Directory

National Provider Directory

Locations

145 S Durbin St
Ste 301
Casper, WY 82601
Phone (307) 337-1173

145 S Durbin St
Ste 207
Casper, WY 82601
Phone (307) 337-1173

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1639701899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S DURBIN ST STE 207",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012566",
            "telephone_number": "307-337-1173",
            "fax_number": "307-337-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S DURBIN ST STE 301",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012567",
            "telephone_number": "307-337-1173",
            "fax_number": "307-337-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BEAUTIFUL MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "HIPSAK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "307-337-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.