NPIMap

Individual provider Active NPI

Emma Marie Bjore, M.D.

  • Family Medicine Physician
  • Laramie, WY
National Provider Identifier
1922441328
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11058A Issued in WY
Practice address
3116 Willett Dr
Laramie, WY 82072-5048
Phone
(307) 755-4540
Fax
(307) 755-4539
NPI assigned
Apr 16, 2013
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11058A WY Primary

Addresses

Primary practice location

3116 Willett Dr
Laramie, WY 82072-5048

Mailing address

255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 755-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925002184 WY Practitioner - Geriatric MedicinePractitioner - Family Practice 6103066766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of North Dakota School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Platte Valley Healthcare ProjectGroup PAC ID 9931513892, 6 clinicians
Ivinson Memorial HospitalGroup PAC ID 8325304447, 61 clinicians

Practice addresses (Care Compare)

1300 W Bridge Ave
Saratoga, WY 82331
Phone (307) 326-3090

3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-6319

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.68 of 100Reported as group
Quality
75.73
Promoting interoperability
100
Improvement activities
40
Cost
76.55

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue54
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11058AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Jan 1, 2018 Accepting new patients
Ivinson Memorial Hospital CurrentSince Jan 1, 2018 Accepting new patients
Platte Valley Healthcare Project CurrentSince Jan 26, 2023 Accepting new patients

Locations

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

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 8

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1922441328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725140",
            "telephone_number": "307-755-4540",
            "fax_number": "307-755-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 WILLETT DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725048",
            "telephone_number": "307-755-4540",
            "fax_number": "307-755-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORE",
        "first_name": "EMMA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "11058A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.