Individual provider Active NPI

Marisha Lee Vanvleet, APRN-CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lander, WY
National Provider Identifier
1730856147
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32026 Issued in WY
Practice address
329 Main St
Lander, WY 82520-3101
Phone
(307) 288-2328
Fax
(833) 581-2421
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32026 WY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 114001 NE

Addresses

Primary practice location

329 Main St
Lander, WY 82520-3101

Mailing address

11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Phone (307) 228-2328

Other practice location 1

11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Phone (402) 898-1113

Other identifiers 2

IdentifierTypeStateIssuer
48489OtherWYLICENSE
114001OtherNE2ND APRN LICENS

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
I20220224000795 WY Practitioner - Nurse Practitioner 0648664227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

724 Front St
Suite 404
Evanston, WY 82930-3589
Phone (307) 288-2328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32026WYMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Sage Psychiatry Psychiatric/Mental Health Current Accepting new patients
Silver Sage Psychiatry, LLC Psychiatric/Mental Health CurrentSince Dec 1, 2021 Accepting new patients

Locations

11404 W Dodge Rd
Ste 300
Omaha, NE 68154
Phone (402) 898-1113

724 Front St
Ste 404
Evanston, WY 82930
Phone (307) 288-2328

329 Main St
Lander, WY 82520
Phone (307) 288-2328

Interoperability endpoints

  • Direct secure messaging: marisha.vanvleet.3@19923.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19923/brand/2/csg/21/fhir/r4

Organizations & group practices 2

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1730856147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681549603",
            "telephone_number": "307-228-2328",
            "fax_number": "833-581-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-288-2328",
            "fax_number": "833-581-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11404 W Dodge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681549603",
            "country_code": "US",
            "telephone_number": "402-898-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANVLEET",
        "first_name": "MARISHA",
        "middle_name": "LEE",
        "credential": "APRN-CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "32026",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "114001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "48489",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2ND APRN LICENS",
            "identifier": "114001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.