SALLY RAFERT FNP-C
NPI 1053098749
Nurse Practitioner - Family in Laramie, WY

Q: What is Sally Rafert's NPI number?

The NPI number for Sally Rafert is 1053098749. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Sally Rafert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Rafert was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 03, 2023PECOS Enrolled

204 MCCOLLUM ST STE 104, LARAMIE, WY 82070(307) 745-0085 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2026, Jul 18, 2023, Jul 3, 2023 (3 updates tracked since 2023).

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About Sally Rafert Fnp-c NPPES

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

SALLY RAFERT FNP-C (NPI 1053098749) is an individual family provider in Laramie, Wyoming, licensed in Wyoming (55013) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053098749

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSALLY RAFERTCredential: FNP-C

Location Address204 MCCOLLUM ST STE 104Laramie, WY 82070-5151

Mailing Address5807 Bastion RdLaramie, WY 82070-8236 · (307) 745-0085

Phone(307) 745-0085

Sole ProprietorYes

Enumeration DateJuly 3, 2023

Last NPPES UpdateApril 11, 20263 updates tracked since enumeration

NPPES CertifiedApril 11, 2026

✔ NPI 1053098749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WY · 55013

204 MCCOLLUM ST STE 104, Laramie, WY 82070

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Rafert Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82070 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 2

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

FAMILY CARE CLINIC, LLC

Clinic/Center (Primary Care)

204 MCCOLLUM ST STE 104
LARAMIE, WY 82070

Albany County (307) 745-0085

DR. TERI JEAN OURADA DNP, FNP-C

Nurse Practitioner (Family)

204 MCCOLLUM ST STE 104
LARAMIE, WY 82070

Albany County (307) 745-0085

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 Sally Rafert's NPI number?

The NPI number for Sally Rafert is 1053098749. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Sally Rafert located?

Sally Rafert practices at 204 Mccollum St Ste 104, Laramie, WY 82070. The listed phone number is (307) 745-0085.

What is Sally Rafert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sally Rafert enrolled in Medicare?

Yes. Sally Rafert is registered in the Medicare PECOS enrollment system.

What insurance does Sally Rafert accept?

Health plans from Providence Health Plan list Sally Rafert 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 Sally Rafert was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.