Platte River Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19507.318 Issued in WY

Legal business name

PLATTE RIVER FAMILY PRACTICE LLC

Practice address

1900 E 1St St
Casper, WY 82601-2747

Phone

(307) 577-7737

Fax

(307) 577-0049

NPI assigned

Apr 12, 2009

Last updated

May 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Marie Gruwell, FNPCNPI 1699761585

Title

President/Owner

Phone

(307) 577-7737

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Marie Gruwell, FNP

  • Nurse Practitioner
  • Casper, WY
  • NPI 1699761585
  Medicare reassignment Care Compare group NPD Authorized official
• Kelly Eckes, APRN

  • Family Nurse Practitioner
  • Casper, WY
  • NPI 1932620002
  Medicare reassignment Care Compare group NPD
• Ericka Lynn Hinton

  • Family Nurse Practitioner
  • Casper, WY
  • NPI 1700768199
  Medicare reassignment Care Compare group NPD
• Abigail Layne Arross

  • Family Nurse Practitioner
  • Casper, WY
  • NPI 1033750716
  Medicare reassignment NPD
• Velvet Maureen Hiser, FNP-C

  • Family Nurse Practitioner
  • Casper, WY
  • NPI 1669750394
  Medicare reassignment NPD
• Felicia Marie Walden, NP

  • Family Nurse Practitioner
  • Casper, WY
  • NPI 1811399736
  Medicare reassignment NPD
• Devin Rhoades, DNP, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Casper, WY
  • NPI 1538933569
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1942443536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012747",
            "telephone_number": "307-577-7737",
            "fax_number": "307-577-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012747",
            "telephone_number": "307-577-7737",
            "fax_number": "307-577-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE RIVER FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-12",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "GRUWELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "307-577-7737",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "19507.318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128539400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla D. Pivik, PCSW
• Tiana Pivik, PHARMD, RPH
• Placebo Ventures, LLC
• Plant-Based Dietitians Inc
• Platte River Anesthesiology PC
• Larry D Plemmons, D.O.
• Mark S Plessman, OTR/L
• Emma Plett
• Plume Health PC
• Eugene P Podrazik, M.D.

• Family Nurse Practitioner in Casper, WY
• Providers in Casper, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.