Individual provider Active NPI

Kathy Bella, ARNP FNP-C

  • Family Nurse Practitioner
  • Diamondville, WY
National Provider Identifier
1902299787
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33582.1375 Issued in WY
Practice address
71 Fossil Drive
Diamondville, WY 83110
Phone
(307) 800-8080
NPI assigned
Mar 18, 2015
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 33582.1375 WY Primary

Addresses

Primary practice location

71 Fossil Drive
Diamondville, WY 83110

Mailing address

PO Box 408
Diamondville, WY 83116-0408
Phone (307) 800-8080

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
I20150403000440 WY Practitioner - Nurse Practitioner 0648597534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

1100 Pine Ave
Suite 3B
Kemmerer, WY 83101-3237
Phone (307) 877-2951

2620 Commercial Way
Suite 140
Rock Springs, WY 82901-4750
Phone (208) 232-7862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.25 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
69.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33582.1375WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Clinic Corp Family CurrentSince Mar 1, 2015 Accepting new patients
Community Strong LLC CurrentSince Dec 23, 2023 Accepting new patients

Locations

196 Arrowhead Dr
Ste 1
Evanston, WY 82930
Phone (307) 783-8123

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

1100 Pine Ave
Ste 3B
Kemmerer, WY 83101
Phone (307) 381-8446

1208 Hilltop Dr
Ste 204
Rock Springs, WY 82901
Phone (307) 362-4200

Interoperability endpoints

  • Direct secure messaging: kbella@yourcarecommunity.org

Organizations & group practices 3

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.

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1902299787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "831160408",
            "telephone_number": "307-800-8080",
            "fax_number": "307-800-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FOSSIL DRIVE",
            "city": "DIAMONDVILLE",
            "state": "WY",
            "postal_code": "83110",
            "telephone_number": "307-800-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLA",
        "first_name": "KATHY",
        "credential": "ARNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "33582.1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondville, WY

Sources for this page

Verify at the official NPI Registry.