Active NPI
Enedina Vasco, ENEDINA VASCO DNP
- Family Nurse Practitioner
- Riverton, WY
National Provider Identifier
1669089652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 46554
- Practice address
- 705 E Washington Ave
Riverton, WY 82501-4452 - Phone
- (307) 463-0541
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 46554 | WY | Primary |
Addresses
Primary practice location
705 E Washington Ave
Riverton, WY 82501-4452
Mailing address
705 E Washington Ave
Riverton, WY 82501-4452
Phone (307) 851-2709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 N 5TH St E
Riverton, WY 82501-4402
Phone (307) 463-0541
315 Lake St NE
Warroad, MN 56763-2305
Phone (307) 851-2709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46554 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Freedom Healthcare, LLC | Current | Accepting new patients |
Locations
705 E Washington Ave
Riverton, WY 82501
Phone (307) 463-0541
Organizations & group practices 1
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": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1669089652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E WASHINGTON AVE",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825014452",
"telephone_number": "307-851-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E WASHINGTON AVE",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825014452",
"telephone_number": "307-463-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASCO",
"first_name": "ENEDINA",
"credential": "ENEDINA VASCO DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "46554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.