Individual provider Active NPI

Jennifer A. Rasmuson, NP

  • Family Nurse Practitioner
  • Buffalo, WY
National Provider Identifier
1780178897
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30807-1761 Issued in WY
Practice address
915 W Fetterman St Unit 1
Buffalo, WY 82834-2449
Phone
(307) 752-8136
Fax
(307) 785-1096
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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 30807-1761 WY Primary

Addresses

Primary practice location

915 W Fetterman St Unit 1
Buffalo, WY 82834-2449

Mailing address

PO Box 975
Buffalo, WY 82834-0975
Phone (307) 221-6430

Other practice location 1

1301 Avon St Ste A
Sheridan, WY 82801-2758
Phone (307) 752-8136

Other identifiers 1

IdentifierTypeStateIssuer
30807-1761OtherWYWYOMING STATE BOARD OF NURSING

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
I20201124000755 WY Practitioner - Nurse Practitioner 4880005891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 Avon St
Suite a
Sheridan, WY 82801-2758
Phone (307) 752-8136

Hospital & facility affiliations

  • Johnson County Healthcare Center Hospital, Buffalo, WY, CCN 531308
  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30807-1761WYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Skies Health and Vitality Clinic LLC Single Specialty CurrentSince Feb 10, 2024 Accepting new patients

Locations

66 W Angus St
Buffalo, WY 82834
Phone (307) 278-0299

915 W Fetterman St
Unit 1
Buffalo, WY 82834

1745 S Sheridan Ave
Ste D
Sheridan, WY 82801
Phone (307) 785-8136

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 2

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1780178897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828340975",
            "telephone_number": "307-221-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W FETTERMAN ST UNIT 1",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828342449",
            "telephone_number": "307-752-8136",
            "fax_number": "307-785-1096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Avon St Ste A",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012758",
            "country_code": "US",
            "telephone_number": "307-752-8136",
            "fax_number": "307-785-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSON",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "30807-1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING STATE BOARD OF NURSING",
            "identifier": "30807-1761",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

Verify at the official NPI Registry.