Individual provider Active NPI

Brenda Kaye Barker, FNP-C

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1710424940
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21969.1579 Issued in WY
Practice address
111 S Jefferson St Ste 105
Casper, WY 82601-2665
Phone
(307) 473-6717
Fax
(307) 473-6780
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 21969.1579 WY Primary

Addresses

Primary practice location

111 S Jefferson St Ste 105
Casper, WY 82601-2665

Mailing address

4136 Laramie St Ste a
Cheyenne, WY 82001-1969
Phone (307) 633-8100

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
I20170213002386 WY Practitioner - Nurse Practitioner 8325321573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care Center LLC 18 clinicians

Practice addresses (Care Compare)

5850 E 2ND St
Unit 100
Casper, WY 82609-4343
Phone (307) 212-6270

Hospital & facility affiliations

  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
74.38
Promoting interoperability
99
Improvement activities
40
Cost
67.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21969.1579WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Center, LLC CurrentSince Oct 28, 2021 Accepting new patients
Pain Care Center, LLC CurrentSince Oct 28, 2021 Accepting new patients
Pain Treatment Center of Wyoming, LLC Past Accepting new patients

Locations

5850 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 472-0207

4136 Laramie St
Unit A
Cheyenne, WY 82001
Phone (307) 633-8100

170 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 448-2753

2620 Commercial Way
Rock Springs, WY 82901
Phone (307) 212-5105

2620 Commercial Way
Ste 20
Rock Springs, WY 82901
Phone 3072126270114

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.

Hospital & facility affiliations 1

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1710424940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 LARAMIE ST STE A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011969",
            "telephone_number": "307-633-8100",
            "fax_number": "307-633-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S JEFFERSON ST STE 105",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012665",
            "telephone_number": "307-473-6717",
            "fax_number": "307-473-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "BRENDA",
        "middle_name": "KAYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "21969.1579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.