Individual provider Active NPI

Donna M Nurss, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Casper, WY
National Provider Identifier
1790868370
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13302 248 Issued in WY
Practice address
1300 East a Street
Ste 201
Casper, WY 82601-2252
Phone
(307) 235-3333
Fax
(307) 266-5155
NPI assigned
Oct 24, 2006
Last updated
Dec 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13302 248 WY Primary

Addresses

Primary practice location

1300 East a Street
Ste 201
Casper, WY 82601-2252

Mailing address

1300 E a St Ste 201
Casper, WY 82601-2252
Phone (307) 235-3333

Other identifiers 2

IdentifierTypeStateIssuer
311578OtherWYBLUE CROSS BLUE SHIELD
124143500MedicaidWY

Other names 1

  • Donna Henderson Former name

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
I20040422001309 WY Practitioner - Nurse Practitioner 6608862891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1430 Wilkins Cir
Casper, WY 82601-1336
Phone (307) 237-9583

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13302 248WYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Counseling Center CurrentSince Sep 14, 2017 Accepting new patients
Central Wyoming Counseling Center CurrentSince Sep 14, 2017 Accepting new patients
Natrona County Behavioral Health Past Accepting new patients

Locations

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1790868370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E A ST STE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012252",
            "telephone_number": "307-235-3333",
            "fax_number": "307-266-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EAST A STREET",
            "address_2": "STE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012252",
            "telephone_number": "307-235-3333",
            "fax_number": "307-266-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURSS",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "13302 248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "311578",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124143500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HENDERSON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.