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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAGE FAMILY PRACTICE
NPI 1093613085
Nurse Practitioner - Family in Sheridan, WY

Active since October 29, 2026
2360 WETLANDS DR, SHERIDAN, WY 82801(307) 285-7878 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sage Family Practice NPPES

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

SAGE FAMILY PRACTICE (NPI 1093613085) is a healthcare organization registered as a family in Sheridan, Wyoming and active in the NPI registry since October 2026. The organization lists Marcella Wildeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1093613085
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSAGE FAMILY PRACTICE
Location Address2360 WETLANDS DRSheridan, WY 82801-9059
Mailing AddressPo Box 565Dayton, WY 82836-0565 · (307) 285-7878
Phone(307) 285-7878
Organization SubpartNo
Authorized OfficialMarcella WildemanOwner · (951) 316-9951
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1093613085 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
2360 WETLANDS DR, Sheridan, WY 82801
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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

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 Sage Family Practice's NPI number?

The NPI number for Sage Family Practice is 1093613085. It was assigned to this organization in the NPPES registry on October 29, 2026.

Where is Sage Family Practice located?

Sage Family Practice is located at 2360 Wetlands Dr, Sheridan, WY 82801. The listed phone number is (307) 285-7878.

What is Sage Family Practice's specialty?

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

When was this NPI record last updated?

The NPPES record for Sage Family Practice was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.