Individual provider Active NPI

Jamie Mosbrucker

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1669822201
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30036.1526 Issued in WY
Practice address
1441 Wilkins Cir
Casper, WY 82601-1337
Phone
(307) 233-2700
Fax
(307) 472-2883
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 30036.1526 WY Primary

Addresses

Primary practice location

1441 Wilkins Cir
Casper, WY 82601-1337

Mailing address

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

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
I20160727002596 WY Practitioner - Nurse Practitioner 6709179732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates, LLCGroup PAC ID 8820902695, 14 clinicians

Practice addresses (Care Compare)

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Hospital & facility affiliations

  • Sagewest Health Care Hospital, Riverton, WY, CCN 530008
  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Washakie Medical Center Hospital, Worland, WY, CCN 531306
  • Hot Springs County Memorial Hospital Hospital, Thermopolis, WY, CCN 531304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30036.1526WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, LLC CurrentSince Jun 17, 2016 Accepting new patients

Locations

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

407 S Medical Arts Ct
Ste D
Gillette, WY 82716
Phone (307) 686-0308

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

1001 W Main St
Riverton, WY 82501
Phone (307) 856-6530

1577 Dewar Dr
Ste 8
Rock Springs, WY 82901
Phone (307) 362-0707

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

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.

Hospital & facility affiliations 5

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1669822201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-233-2700",
            "fax_number": "307-472-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011337",
            "telephone_number": "307-233-2700",
            "fax_number": "307-472-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBRUCKER",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "30036.1526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.