THERESA LERCH C FNP CNM PC
NPI 1437335866
Nurse Practitioner - Family in Jackson, WY

Active since January 16, 2008
320 E BROADWAY, SUITE 1C, JACKSON, WY 83001(307) 733-4585(307) 733-4787 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theresa Lerch C Fnp Cnm Pc NPPES

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

THERESA LERCH C FNP CNM PC (NPI 1437335866) is a healthcare organization registered as a family in Jackson, Wyoming and active in the NPI registry since January 2008. The organization lists Theresa Lerch, President, as its authorized official.

NPPES Registry Identity

NPI1437335866
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHERESA LERCH C FNP CNM PC
Location Address320 E BROADWAY, SUITE 1CJackson, WY 83001
Mailing AddressPo Box 9487Jackson, WY 83002-9487 · (307) 733-4585 · Fax (307) 733-4787
Fax(307) 733-4787
Organization SubpartNo
Authorized OfficialTheresa LerchPresident · (307) 733-4585
Enumeration DateJanuary 16, 2008
Last NPPES UpdateDecember 3, 2008
✔ NPI 1437335866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WY · 18054.0164
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 18054.0164 (WY)
320 E BROADWAY, Jackson, WY 83001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Lerch C Fnp Cnm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by December 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20140402000551Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
StateWyomingEnrollment IDO20081216000088Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Theresa Lerch C Fnp Cnm PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1659511764
320 E BROADWAY SUITE 1C
Jackson, WY 83002
(307) 733-4585
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235681461
320 E BROADWAY AVE STE 1C
Jackson, WY 83001
(307) 733-4585
✔ PECOSSame address
Nurse Practitioner
NPI 1578503850
320 E BROADWAY STE 1C
Jackson, WY 83001
(307) 733-4585
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Theresa Lerch C Fnp Cnm PC's NPI number?

The NPI number for Theresa Lerch C Fnp Cnm PC is 1437335866. It was assigned to this organization in the NPPES registry on January 16, 2008.

Where is Theresa Lerch C Fnp Cnm PC located?

Theresa Lerch C Fnp Cnm PC is located at 320 E Broadway Suite 1C, Jackson, WY 83001. The listed phone number is (307) 733-4585.

What is Theresa Lerch C Fnp Cnm PC's specialty?

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

Is Theresa Lerch C Fnp Cnm PC enrolled in Medicare?

Yes. Theresa Lerch C Fnp Cnm PC is registered in the Medicare PECOS enrollment system.

When is Theresa Lerch C Fnp Cnm PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Theresa Lerch C Fnp Cnm PC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Theresa Lerch C Fnp Cnm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Theresa Lerch C Fnp Cnm PC. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Theresa Lerch C Fnp Cnm PC accept?

Health plans from Blue Cross Blue Shield of Wyoming and University of Utah Health Plans list Theresa Lerch C Fnp Cnm PC 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 Theresa Lerch C Fnp Cnm PC was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.