Individual provider Active NPI

Madison Rae Wurdeman, MSN, RN

  • Registered Nurse
  • Lusk, WY
National Provider Identifier
1811808371
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
51057 Issued in WY
Practice address
921 Ballancee Ave
Lusk, WY 82225-5245
Phone
(307) 334-4000
Fax
(307) 334-4059
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 51057 WY Primary

Addresses

Primary practice location

921 Ballancee Ave
Lusk, WY 82225-5245

Mailing address

921 Ballancee Ave
Lusk, WY 82225-5245
Phone (307) 334-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1811808371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 BALLANCEE AVE",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822255245",
            "telephone_number": "307-334-4000",
            "fax_number": "307-334-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BALLANCEE AVE",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822255245",
            "telephone_number": "307-334-4000",
            "fax_number": "307-334-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURDEMAN",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "51057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lusk, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.