Active NPI
Jennifer A. Rasmuson, NP
- Family Nurse Practitioner
- Buffalo, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30807-1761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30807-1761 | Other | WY | WYOMING 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
Enrollment records 1
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
- Sheridan Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30807-1761 | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purple Skies Health and Vitality Clinic LLC | Single Specialty | Current | 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.
-
- Clinic/Center
- Buffalo, WY
- NPI 1053181701
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Buffalo, WY
- NPI 1003894122
-
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.