Rooted Wellness of Wyoming LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROOTED WELLNESS OF WYOMING LLC

Practice address

701 Antler Dr Ste 209
Casper, WY 82601-1749

Phone

(307) 462-3569

NPI assigned

Apr 8, 2025

Last updated

Apr 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

McKenzie Frederick, DNP, PMHNPNPI 1629598651

Title

Owner

Phone

(307) 209-9636

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• McKenzie Cherie Frederick, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Casper, WY
  • NPI 1629598651
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1740074368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 209",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011749",
            "telephone_number": "307-209-9636",
            "fax_number": "307-459-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 209",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011749",
            "telephone_number": "307-462-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED WELLNESS OF WYOMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-209-9636",
        "authorized_official_credential": "DNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janna Rone, OTR
• Judy V Rooney, MSW, LCSW
• Ropes and Roses Therapy Services
• Rosenberger LLC
• Nicole M Rosenberger, MSW, LCSW
• Stephanie R Rosenthal, CRNA
• Jennifer Lynn Rosics, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Casper, WY
• Providers in Casper, WY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.