Individual provider Active NPI

Amy Johnson, NP-C

  • Family Nurse Practitioner
  • Wheatland, WY
National Provider Identifier
1902292139
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18605.1382 Issued in WY
Practice address
1551 Brice St
Wheatland, WY 82201-3505
Phone
(307) 322-3861
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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 18605.1382 WY Primary

Addresses

Primary practice location

1551 Brice St
Wheatland, WY 82201-3505

Mailing address

3 Loretta Dr
Wheatland, WY 82201-8941
Phone (307) 331-8153

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
I20160105000471 WY Practitioner - Nurse Practitioner 8426350786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte County HospitalGroup PAC ID 6709798150, 7 clinicians

Practice addresses (Care Compare)

1 E Whalen St
Guernsey, WY 82214-0001
Phone (307) 322-3861

Hospital & facility affiliations

  • Platte County Hospital Hospital, Wheatland, WY, CCN 531305
  • Community Hospital Hospital, Torrington, WY, CCN 531307
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18605.1382WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platte County Hospital CurrentSince Apr 23, 2017 Accepting new patients
Platte County Hospital Current Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 17, 2015 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 17, 2015 Accepting new patients
Platte County Hospital CurrentSince Apr 23, 2017 Accepting new patients
Platte County Hospital Past Accepting new patients

Locations

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

1551 Brice St
Wheatland, WY 82201
Phone (307) 322-3636

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

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1902292139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LORETTA DR",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822018941",
            "telephone_number": "307-331-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BRICE ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822013505",
            "telephone_number": "307-322-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "18605.1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatland, WY

Sources for this page

Verify at the official NPI Registry.