Individual provider Active NPI

Amanda Gerise Vignaroli, DNP. FNP-BC

  • Primary Care Nurse Practitioner
  • Casper, WY
National Provider Identifier
1649776576
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26262.1727 Issued in WY
Practice address
940 E 3Rd St Ste 203
Casper, WY 82601-3251
Phone
(307) 577-0465
NPI assigned
Mar 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26262.1727 WY Primary

Addresses

Primary practice location

940 E 3Rd St Ste 203
Casper, WY 82601-3251

Mailing address

7220 W Riverside Dr
Casper, WY 82604-9296
Phone (307) 258-3222

Other practice location 1

1020 S Conwell St
Casper, WY 82601-3921
Phone (307) 265-8300

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
I20180425001847 WY Practitioner - Nurse Practitioner 3375807480 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26262.1727WYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 22, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Bella Vita Health and Wellness CurrentSince Jan 24, 2021 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1908 Thomes Ave
Cheyenne, WY 82001

1712 Pioneer Ave
Cheyenne, WY 82001
Phone (307) 222-0371

Interoperability endpoints

  • Direct secure messaging: amanda.vignaroli.1@29220.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1649776576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 W RIVERSIDE DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826049296",
            "telephone_number": "307-258-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 203",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-577-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S Conwell St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826013921",
            "country_code": "US",
            "telephone_number": "307-265-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGNAROLI",
        "first_name": "AMANDA",
        "middle_name": "GERISE",
        "credential": "DNP. FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WY",
            "license": "26262.1727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.