Individual provider Active NPI

Tara Dye, FNP-C

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1730650771
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28538.1829 Issued in WY
Practice address
1300 E a St Ste 104
Casper, WY 82601-2211
Phone
(307) 237-1900
Fax
(307) 268-8514
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 28538.1829 WY Primary

Addresses

Primary practice location

1300 E a St Ste 104
Casper, WY 82601-2211

Mailing address

1300 E a St Ste 104
Casper, WY 82601-2211
Phone (307) 237-1900

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
I20190620000521 WY Practitioner - Nurse Practitioner 4486988797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Medical LLCGroup PAC ID 0648698290, 18 clinicians
Legacy Primary Care PLLCGroup PAC ID 5799223491, 16 clinicians

Practice addresses (Care Compare)

1930 E 12TH St
Casper, WY 82601-4075
Phone (307) 265-2273

1930 E 12TH St
Suite 106
Casper, WY 82601-4077
Phone (701) 516-4637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
81.84
Promoting interoperability
98
Improvement activities
40
Cost
70.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28538.1829WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Primary Care PLLC CurrentSince Nov 1, 2024 Accepting new patients
Legacy Medical LLC CurrentSince Oct 1, 2022 Accepting new patients
Caring Edge Op LLC CurrentSince Nov 1, 2024 Accepting new patients
Big Stone Therapies Montague LLC Past Accepting new patients

Locations

600 S 2nd St
Ste 200
Bismarck, ND 58504
Phone (701) 757-5463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCIBCD

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1730650771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E A ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012211",
            "telephone_number": "307-237-1900",
            "fax_number": "307-268-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E A ST STE 104",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012211",
            "telephone_number": "307-237-1900",
            "fax_number": "307-268-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "28538.1829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.