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TRICIA M MIEDEMA MD
NPI 1023390507
Emergency Medicine in Afton, WY

Active since September 12, 2011PECOS Enrolled

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2025, May 3, 2022 (2 updates tracked since 2022).

About Tricia M Miedema Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRICIA M MIEDEMA MD (NPI 1023390507) is an individual emergency medicine provider in Afton, Wyoming, licensed in Wyoming (TL8682) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023390507
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTRICIA M MIEDEMACredential: MD
Location Address901 ADAMS STAfton, WY 83110-9621
Mailing Address901 Adams StAfton, WY 83110-9621 · (307) 885-5800
Phone(307) 885-5800
Sole ProprietorNo
Enumeration DateSeptember 12, 2011
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1023390507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WY · TL8682✔ Licensed in AZ · R79477
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601006114 (MI)
901 ADAMS ST, Afton, WY 83110
Open in Google Maps ↗

Other Identifiers 2

Medicaid1023390507MI
Other1588778484MI · Bcbsm - Wmcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tricia M Miedema Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tricia Miedema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Lincoln County Hospital District
Same address
Critical Access
901 ADAMS ST
Afton, WY 83110
  • Reassigned Medicare billing, Wyoming enrollment
  • 82 clinicians in this Medicare group
NPI 1255376406 (307) 885-5800
Memorial Hospital Of Carbon County
199 mi
General Acute Care Hospital
2221 W ELM ST
Rawlins, WY 82301
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1710298757 (Wyoming)
  • 43 clinicians in this Medicare group
NPI 1417031311 (307) 324-2221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KORRY WHEELER PT, DPT, ECS
Physical Therapist
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 883-7878
KELLI HANSEN LAT, ATC
Specialist/Technologist (Athletic Trainer)
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5800
TROY BAILEY RD
Dietitian, Registered
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5932
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Clinical Cardiac Electrophysiology)
901 ADAMS ST
AFTON, WY 83110
Lincoln County (801) 581-2121
AARON REED BROWN M.D.
Emergency Medicine
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5821
SARA PETTINELLI MD
Family Medicine
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5800
WILLIAM H KENNINGTON OT
Occupational Therapist
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-7878
BROOKE CHASE YASGUR DO
Emergency Medicine
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tricia Miedema's NPI number?

The NPI number for Tricia Miedema is 1023390507. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Tricia Miedema located?

Tricia Miedema practices at 901 Adams St, Afton, WY 83110. The listed phone number is (307) 885-5800.

What is Tricia Miedema's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tricia Miedema enrolled in Medicare?

Yes. Tricia Miedema is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tricia Miedema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tricia Miedema reassigns Medicare benefits to 2 organizations: North Lincoln County Hospital District (Afton, WY) and Memorial Hospital Of Carbon County (Rawlins, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tricia Miedema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tricia Miedema accept?

Health plans from Blue Cross Blue Shield of Wyoming list Tricia Miedema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tricia Miedema was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.