Individual provider Active NPI

Kaitlin Mikel Bird, APRN

  • Family Nurse Practitioner
  • Robertson, WY
National Provider Identifier
1639822240
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
51698 Issued in WY
Practice address
586 Moose Hollow Rd
Robertson, WY 82944-5070
Phone
(307) 884-3644
NPI assigned
Feb 2, 2022
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 51698 WY Primary

Addresses

Primary practice location

586 Moose Hollow Rd
Robertson, WY 82944-5070

Mailing address

PO Box 414
Mountain View, WY 82939-0414
Phone (307) 884-3644

Other practice location 1

2761 Commercial Way
Rock Springs, WY 82901-4753
Phone (307) 382-3064

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
I20230508001674 WY Practitioner - Nurse Practitioner 0749645182 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians

Practice addresses (Care Compare)

39901 Business Loop I
Suite 80
Lyman, WY 82937
Phone (307) 786-2042

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District CurrentSince May 10, 2024 Accepting new patients
North Lincoln County Hospital District CurrentSince May 10, 2024 Accepting new patients

Locations

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

195 Feather Way
Evanston, WY 82930
Phone (307) 200-9200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BACBED/Endpoint/BACBED

Organizations & group practices 3

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 4

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1639822240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "829390414",
            "telephone_number": "307-884-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MOOSE HOLLOW RD",
            "city": "ROBERTSON",
            "state": "WY",
            "postal_code": "829445070",
            "telephone_number": "307-884-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2761 Commercial Way",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829014753",
            "country_code": "US",
            "telephone_number": "307-382-3064",
            "fax_number": "307-382-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "KAITLIN",
        "middle_name": "MIKEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "51698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertson, WY

Sources for this page

Verify at the official NPI Registry.