Individual provider Active NPI

Jennifer Asher Martin, FNP

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1831660430
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24967.1846 Issued in WY
Practice address
1700 Westland Rd
Cheyenne, WY 82001-3322
Phone
(307) 632-8064
NPI assigned
Dec 8, 2018
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 24967.1846 WY Primary

Addresses

Primary practice location

1700 Westland Rd
Cheyenne, WY 82001-3322

Mailing address

1700 Westland Rd
Cheyenne, WY 82001-3322
Phone (307) 632-8064

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
I20190528000582 WY Practitioner - Nurse Practitioner 8426391848 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24967.1846WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action of Laramie County, Inc CurrentSince Oct 11, 2024 Accepting new patients
Care United Medical Center of Laramie, LLC CurrentSince Sep 16, 2019 Accepting new patients
Internal Medicine Group PC CurrentSince Mar 1, 2022 Accepting new patients
College Drive Urgent Care LLC CurrentSince Jul 8, 2021 Accepting new patients
Digestive Health Associates of Cheyenne CurrentSince Mar 1, 2022 Accepting new patients
Life Care Physician Services, LLC CurrentSince Apr 20, 2020 Accepting new patients
Medi Horizons Inc Past Accepting new patients

Locations

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

1700 Westland Rd
Cheyenne, WY 82001
Phone (307) 632-8064

1919 Central Ave
Cheyenne, WY 82001
Phone (307) 514-9888

2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500

7212 Commons Cir
Cheyenne, WY 82009
Phone (307) 635-4141

3810 E Grand Ave
Laramie, WY 82070
Phone (307) 721-1794

Interoperability endpoints

  • Direct secure messaging: jmartin63042@direct.crmcwy.org

Organizations & group practices 7

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": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1831660430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WESTLAND RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013322",
            "telephone_number": "307-632-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAND RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013322",
            "telephone_number": "307-632-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "ASHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-08",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "24967.1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.