ASHLEY TUPPER ARPN
NPI 1316354590
Nurse Practitioner - Primary Care in Newcastle, WY

Active since July 19, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
719 WASHINGTON BLVD, NEWCASTLE, WY 82701(307) 746-2182 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2019, Jul 11, 2019 (2 updates tracked since 2019).

About Ashley Tupper Arpn NPPES

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

ASHLEY TUPPER ARPN (NPI 1316354590) is an individual primary care provider in Newcastle, Wyoming, licensed in Wyoming (36815.1473) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and maintains a secondary practice location in Newcastle.

NPPES Registry Identity

NPI1316354590
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameASHLEY TUPPERCredential: ARPN
Location Address719 WASHINGTON BLVDNewcastle, WY 82701-2987
Mailing Address719 Washington BlvdNewcastle, WY 82701-2987 · (307) 746-2182 · Fax (855) 308-5525
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 19, 2014
Last NPPES UpdateSeptember 4, 20192 updates tracked since enumeration
NPI 1316354590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WY · 36815.1473
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704293226 (MI), 36815.1473 (WY)
719 WASHINGTON BLVD, Newcastle, WY 82701

Secondary Practice Location 1

Location 11121 Washington BlvdNewcastle, WY 82701-2968 · Phone (307) 746-3582 · Fax (605) 755-0707

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ashley Tupper Arpn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921225988
PECOS Enrollment IDI20160129001178
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
363 services157 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
343 services158 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
223 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
112 services84 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
103 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
95 services95 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Weston County Health Services

Critical Access Hospitals · Newcastle, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531303
Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82701 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers22 claims51 services$6.31 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers48 claims50 services$18.29 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers20 claims20 services$47.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers63 claims65 services$106.15 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims17 services$34.13 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims990 services$0.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ashley Tupper's NPI number?

The NPI number for Ashley Tupper is 1316354590. It was assigned to this individual provider in the NPPES registry on July 19, 2014.

Where is Ashley Tupper located?

Ashley Tupper practices at 719 Washington Blvd, Newcastle, WY 82701. The listed phone number is (307) 746-2182.

What is Ashley Tupper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ashley Tupper enrolled in Medicare?

Yes. Ashley Tupper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Tupper accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Ashley Tupper 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.

Is Ashley Tupper affiliated with any hospitals?

According to CMS data, Ashley Tupper is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Custer Hospital, Campbell County Health and Weston County Health Services.

When was this NPI record last updated?

The NPPES record for Ashley Tupper was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.