Individual provider Active NPI

Jennifer Renee Lee, APRN

  • Nurse Practitioner
  • Casper, WY
National Provider Identifier
1841707932
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1712 Issued in WY
Practice address
4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone
(307) 265-7205
Fax
(307) 235-6262
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1712 WY
Nurse Practitioner 363L00000X 1712 WY Primary

Addresses

Primary practice location

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265

Mailing address

4140 Centennial Hills Blvd Ste a
Casper, WY 82609-3265
Phone (307) 265-7205

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
I20180507002086 WY Practitioner - Nurse Practitioner 5395009971 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Orthopaedic Associates PCGroup PAC ID 9436148624, 30 clinicians

Practice addresses (Care Compare)

4140 Centennial Hills Blvd
Suite a
Casper, WY 82609-3265
Phone (307) 265-7205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.26 of 100Reported as group
Quality
51.79
Improvement activities
0
Cost
75.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC Nurse Practitioner CurrentSince Oct 24, 2024 Accepting new patients
Care United Medical Center of Laramie, LLC CurrentSince Aug 21, 2023 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
Casper Orthopaedic Associates PC CurrentSince Oct 24, 2024 Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

419 S Washington St
Ste 200
Casper, WY 82601
Phone (307) 265-8300

1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622

1020 E 2nd St
Ste 201
Casper, WY 82601
Phone (307) 233-0250

2025 E 2nd St
Casper, WY 82609
Phone (307) 309-5915

5000 Blackmore Rd
Casper, WY 82609
Phone (307) 233-6000

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

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

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1841707932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE A",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1712",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "1712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.