KALLY RAY SAYDJARI DNP
NPI 1124653100
Nurse Practitioner - Primary Care in Casper, WY
About Kally Ray Saydjari Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALLY RAY SAYDJARI DNP (NPI 1124653100) is an individual primary care provider in Casper, Wyoming, licensed in Wyoming (45445) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kally Ray Saydjari Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kally Saydjari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Casper, WY 82609
- Reassigned Medicare billing, Wyoming enrollment
- 36 clinicians in this Medicare group
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 82609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CASPER, WY 82609
CASPER, WY 82609
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 Kally Saydjari's NPI number?
The NPI number for Kally Saydjari is 1124653100. It was assigned to this individual provider in the NPPES registry on March 10, 2020.
Where is Kally Saydjari located?
Kally Saydjari practices at 5000 Blackmore Rd, Casper, WY 82609. The listed phone number is (307) 233-6000.
What is Kally Saydjari's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kally Saydjari enrolled in Medicare?
Yes. Kally Saydjari is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kally Saydjari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kally Saydjari reassigns Medicare benefits to Community Health Center Of Central Wyoming, Inc. (Casper, WY). The 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 Kally Saydjari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kally Saydjari accept?
Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Kally Saydjari 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 Kally Saydjari was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Kally Ray Saydjari, DNP · NPI 1124653100
Primary Care physician in Casper, Wyoming. Individual provider, active in the CMS NPPES registry since March 10, 2020.
## Identity
- **NPI:** 1124653100 (Entity type: Individual)
- **Enumerated:** March 10, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 45445 (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 5000 BLACKMORE RD, Casper, WY 82609-3345
- **Phone:** (307) 233-6000 · **Fax:** (307) 233-6089
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health Center Of Central Wyoming, Inc. (NPI 1447480561, Casper, WY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124653100) · Data from the CMS NPPES public registry.