MANDY JARVIS APRN
NPI 1366903445
Nurse Practitioner - Family in Rock Springs, WY
About Mandy Jarvis Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY JARVIS APRN (NPI 1366903445) is an individual family provider in Rock Springs, Wyoming, licensed in Wyoming (44162) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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 and accepts Medicare assignment
Mandy Jarvis Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mandy Jarvis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Afton, WY 83110
- Reassigned Medicare billing, Wyoming enrollment
- 2 clinicians in this Medicare group
La Pine, OR 97739
- Reassigned Medicare billing, Utah enrollment
- 4 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 82901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCK SPRINGS, WY 82901
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 Mandy Jarvis's NPI number?
The NPI number for Mandy Jarvis is 1366903445. It was assigned to this individual provider in the NPPES registry on March 29, 2019.
Where is Mandy Jarvis located?
Mandy Jarvis practices at 120 Winston Dr Ste 101, Rock Springs, WY 82901. The listed phone number is (307) 352-9602.
What is Mandy Jarvis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mandy Jarvis enrolled in Medicare?
Yes. Mandy Jarvis 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.
Which organizations bill Medicare for Mandy Jarvis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Jarvis reassigns Medicare benefits to 2 organizations: Ppm Wyoming LLC (Afton, WY) and Mavie LLC (La Pine, OR). 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 Mandy Jarvis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandy Jarvis accept?
Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Mandy Jarvis 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 Mandy Jarvis was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mandy Jarvis, APRN · NPI 1366903445
Family physician in Rock Springs, Wyoming. Individual provider, active in the CMS NPPES registry since March 29, 2019.
## Identity
- **NPI:** 1366903445 (Entity type: Individual)
- **Enumerated:** March 29, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 44162 (Wyoming)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 120 WINSTON DR STE 101, Rock Springs, WY 82901-5833
- **Phone:** (307) 352-9602
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ppm Wyoming LLC (NPI 1366289290, Afton, WY); Mavie LLC (NPI 1366270365, La Pine, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366903445) · Data from the CMS NPPES public registry.