Ashley Lynn Bostyan, DNP, APRN, ACAGNP-BC

Individual provider Active NPI Acute Care Nurse Practitioner · Jackson, WY

NPI 1639724099 · NPPES record last updated Mar 19, 2024

Key facts

NPI
1639724099
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
50957 (WY)
Practice address
625 E Broadway Ave
Jackson, WY 83001-8642
Phone
(307) 733-3636
Fax
(877) 205-2024
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monument Health Rapid City Hospital Inc (560 clinicians)

Practice addresses (Care Compare)

640 Flormann St
Rapid City, SD 57701-4679
Phone (605) 755-3300

Hospital & facility affiliations

  • Monument Health Rapid City Hospital Hospital · Rapid City, SD · CCN 430077

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100 (group)
Quality
80.49
Promoting interoperability
94
Improvement activities
40
Cost
68.55

Merit-based Incentive Payment System (MIPS)

Final score
81.82 of 100 (group)
Quality
67.1
Promoting interoperability
98
Improvement activities
40
Cost
73.98

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WY, SD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221122001388 WY Practitioner - Nurse Practitioner 6002249042 Reassigns benefits to 1 organization
I20250806003875 SD Practitioner - Nurse Practitioner 6002249042 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc Current
since Jun 17, 2025
Accepting new patients
Monument Health Rapid City Hospital Inc Current
since Jun 17, 2025
Accepting new patients
Memorial Hospital of Sheridan County Current
since Mar 20, 2024
Accepting new patients
Memorial Hospital of Sheridan County Current
since Mar 20, 2024
Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 50957 WY Yes

Addresses

Primary practice location

625 E Broadway Ave
Jackson, WY 83001-8642

Mailing address

PO Box 428
Jackson, WY 83001-0428
Phone (307) 733-3636

Other practice location 1

1401 W 5th St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Other identifiers

IdentifierTypeStateIssuer
218868600MedicaidWY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address abostyan@sjmc.cernerdirect.com Direct

Other providers in Jackson, WY

All providers in Jackson, WY · Acute Care Nurse Practitioner in Wyoming

Sources for this page

Verify at the official NPI Registry.