Jesse Henry, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23263.1005 Issued in WY

Practice address

1252 N 22ND St Unit B
Laramie, WY 82072-5306

Phone

(307) 745-3704

NPI assigned

Jun 12, 2009

Last updated

Jul 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Hospitalist Group LLCGroup PAC ID 8527445824, 47 clinicians

Ivinson Memorial HospitalGroup PAC ID 8325304447, 61 clinicians

Grand Avenue Urgent Care LLCGroup PAC ID 4385936244, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025
• Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599
  Medicare reassignment Care Compare group NPD
• Summit Hospitalist Group LLC

  • Hospitalist Physician
  • Cheyenne, WY
  • NPI 1356985600
  Medicare reassignment Care Compare group NPD
• Grand Avenue Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Laramie, WY
  • NPI 1174983118
  Medicare reassignment Care Compare group
• Care United Medical Center of Laramie, LLC

  dba BestMed

  • Multi-Specialty Clinic/Center
  • Laramie, WY
  • NPI 1063720605
  Medicare reassignment NPD
• Grand Ave Family Medicine

  • Family Medicine Physician
  • Laramie, WY
  • NPI 1437842390
  NPD
• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1366626269
  NPD
• Intrawest Medical Services, P.C

  dba Emergency Physicians of Laramie

  • Emergency Medical Services (Emergency Medicine) Physician
  • Laramie, WY
  • NPI 1770503518
  NPD (past)
• Laramie Urgent Care

  • Urgent Care Clinic/Center
  • Laramie, WY
  • NPI 1376859322
  NPD (past)

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

• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552
  Care Compare affiliation
• Memorial Hospital of Laramie County

  dba Cheyenne Regional Medical Center

  • General Acute Care Hospital
  • Cheyenne, WY
  • NPI 1285621839
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247961600000",
    "number": "1649407040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 N 22ND ST UNIT B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 N 22ND ST UNIT B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725306",
            "telephone_number": "307-745-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JESSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "23263.1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista R Heikes
• Jenna E Heller, R.D.
• Sarah B Hellevang, MS PT
• Jordan Hemingway
• Cory Henderson
• Jenna Hepp
• Luann S Herkstroeter, P.T.
• Juan Jose Hernandez-Codallos
• Natividad Hernandez III
• Tiffany Herring

• Family Nurse Practitioner in Laramie, WY
• Providers in Laramie, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; 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.

Verify at the official NPI Registry.