JACY RAE TODD FNP
NPI 1588598205
Nurse Practitioner - Family in Gillette, WY

Active since June 09, 2026PECOS Enrolled
501 S BURMA AVE, GILLETTE, WY 82716(307) 688-1000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacy Rae Todd Fnp NPPES

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

JACY RAE TODD FNP (NPI 1588598205) is an individual family provider in Gillette, Wyoming, licensed in Wyoming (47668) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1588598205
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACY RAE TODDCredential: FNP
Location Address501 S BURMA AVEGillette, WY 82716-3426
Mailing Address2090 Us Highway 14Banner, WY 82832-9709 · (307) 620-5814
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJune 9, 2026
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1588598205 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
License✔ Licensed in WY · 47668
501 S BURMA AVE, Gillette, WY 82716

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacy Rae Todd Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911463369
PECOS Enrollment IDI20260727003175
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82716 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.

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.

Nurse Anesthetist, Certified Registered
501 S BURMA AVE
GILLETTE, WY 82716
Internal Medicine (Pulmonary Disease)
501 S BURMA AVE, 3S-PULM
GILLETTE, WY 82716
Internal Medicine (Hematology & Oncology)
501 S BURMA AVE
GILLETTE, WY 82716
Counselor
501 S BURMA AVE
GILLETTE, WY 82716
Nurse Practitioner (Adult Health)
501 S BURMA AVE
GILLETTE, WY 82716
Family Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Emergency Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Social Worker
501 S BURMA AVE
GILLETTE, WY 82716

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 Jacy Todd's NPI number?

The NPI number for Jacy Todd is 1588598205. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Jacy Todd located?

Jacy Todd practices at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-1000.

What is Jacy Todd's specialty?

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

Is Jacy Todd enrolled in Medicare?

Yes. Jacy Todd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacy Todd was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.