Active NPI
Amy Johnson, NP-C
- Family Nurse Practitioner
- Wheatland, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18605.1382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Hospital
Practice addresses (Care Compare)
1 E Whalen St
Guernsey, WY 82214-0001
Phone (307) 322-3861
Hospital & facility affiliations
- Platte County Hospital
- Community Hospital
- Regional West Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18605.1382 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platte County Hospital | Current | Accepting new patients | |
| Platte County Hospital | Current | Accepting new patients | |
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Platte County Hospital | Current | 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.
-
- Rural Health Clinic/Center
- Wheatland, WY
- NPI 1235670092
-
- Rural Health Clinic/Center
- Guernsey, WY
- NPI 1376084160
-
- Medicare Defined Swing Bed Hospital Unit
- Wheatland, WY
- NPI 1457403073
-
- Multi-Specialty Clinic/Center
- Wheatland, WY
- NPI 1518495498
-
- Multi-Specialty Clinic/Center
- Ogallala, NE
- NPI 1154687812
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.