Individual provider Active NPI

Jennifer R Tryder, FNP

  • Family Nurse Practitioner
  • Cody, WY
National Provider Identifier
1780936419
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1217 Issued in WY
Practice address
902 Blackburn St
Cody, WY 82414-8014
Phone
(307) 291-0447
NPI assigned
Oct 4, 2012
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 1217 WY Primary

Addresses

Primary practice location

902 Blackburn St
Cody, WY 82414-8014

Mailing address

902 Blackburn St
Cody, WY 82414-8014
Phone (307) 291-0447

Other practice location 1

777 Avenue H
Powell, WY 82435-2260
Phone (307) 754-7257 ext. 30775

Other names 1

  • Jennifer R Paxton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121228000426 WY Practitioner - Nurse Practitioner 0345493250 Reassigns benefits to 5 organizations
I20130207000541 MT Practitioner - Nurse Practitioner 0345493250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 E 7TH St
Powell, WY 82435-2126
Phone (307) 764-4107

201 E 5TH St
Sheridan, WY 82801-3658
Phone (307) 674-6995

902 Blackburn St
Cody, WY 82414-8494
Phone (307) 291-0447

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4074WYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Big Horn Hospital District CurrentSince Aug 1, 2020 Accepting new patients
Hot Springs County Hospital District CurrentSince Jun 1, 2019 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Jun 3, 2024 Accepting new patients
Holistic Pain Management of Wyoming, LLC Family CurrentSince Mar 1, 2020 Accepting new patients
Powell Valley Health Care Inc CurrentSince Apr 1, 2019 Accepting new patients
Bighorn Valley Health Center Incorporated Current Accepting new patients
Powell Valley Healthcare Inc CurrentSince Apr 1, 2019 Accepting new patients
North Big Horn Hospital CurrentSince Aug 1, 2020 Accepting new patients
Hot Springs County Hospital District CurrentSince Jun 1, 2019 Accepting new patients
Hot Springs County Hospital District Current Accepting new patients
Bighorn Valley Health Center Incorporated CurrentSince Jun 3, 2024 Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
North Big Horn Hospital District Past Accepting new patients

Locations

3780 N Garfield Ave
Ste 101
Loveland, CO 80538
Phone (800) 928-6040

207 W Main St
Ste 5
Lewistown, MT 59457
Phone (406) 968-0172

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

902 Blackburn St
Ste F
Cody, WY 82414
Phone (307) 291-0447

444 Greybull Ave
Greybull, WY 82426
Phone (307) 765-1450

1115 Lane 12
Lovell, WY 82431
Phone (307) 548-2771

229 E Main St
Lovell, WY 82431
Phone (307) 548-9123

1201 E 7th St
Powell, WY 82435
Phone (307) 764-1509

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

1001 W Main St
Ste B
Riverton, WY 82501
Phone (800) 928-6040

201 E 5th St
Sheridan, WY 82801
Phone (307) 674-6995

31 E Whitney St
Sheridan, WY 82801
Phone (307) 674-6995

150 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-3121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11747/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.curtis.1@14500.direct.athenahealth.com
  • Direct secure messaging: jennifer.tryder.1@16708.direct.athenahealth.com

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 11

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": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1780936419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BLACKBURN ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148014",
            "telephone_number": "307-291-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BLACKBURN ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148014",
            "telephone_number": "307-291-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Avenue H",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824352260",
            "country_code": "US",
            "telephone_number": "307-754-7257 x30775",
            "fax_number": "307-754-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRYDER",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PAXTON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.