SILVER SAGE PSYCHIATRY, LLC
NPI 1619629912
Clinical Nurse Specialist - Psychiatric/Mental Health in Evanston, WY

Active since January 19, 2022
724 FRONT ST STE 404, EVANSTON, WY 82930(307) 288-2328 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Silver Sage Psychiatry, Llc NPPES

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

SILVER SAGE PSYCHIATRY, LLC (NPI 1619629912), doing business as Silver Sage Psychiatry Llc, is a healthcare organization registered as a psychiatric/mental health in Evanston, Wyoming and active in the NPI registry since January 2022. The organization lists Marisha Vanvleet, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619629912
Entity TypeOrganization
Primary Taxonomy364SP0808X
Legal Business NameSILVER SAGE PSYCHIATRY, LLC
Location Address724 FRONT ST STE 404Evanston, WY 82930-3589
Mailing Address724 Front St Ste 404Evanston, WY 82930-3589 · (307) 288-2328
Organization SubpartNo
Authorized OfficialMarisha VanvleetCeo · (307) 288-2329
Enumeration DateJanuary 19, 2022
NPPES CertifiedJanuary 19, 2022
✔ NPI 1619629912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
724 FRONT ST STE 404, Evanston, WY 82930

Other Names 1

Doing Business AsSilver Sage Psychiatry Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Silver Sage Psychiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Silver Sage Psychiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1730856147
329 MAIN ST
Lander, WY 82520
(307) 288-2328
✔ PECOS✔ Accepts Medicare158 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 Silver Sage Psychiatry, LLC's NPI number?

The NPI number for Silver Sage Psychiatry, LLC is 1619629912. It was assigned to this organization in the NPPES registry on January 19, 2022. The provider is doing business as Silver Sage Psychiatry LLC.

Where is Silver Sage Psychiatry, LLC located?

Silver Sage Psychiatry, LLC is located at 724 Front St Ste 404, Evanston, WY 82930. The listed phone number is (307) 288-2328.

What is Silver Sage Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Silver Sage Psychiatry, LLC enrolled in Medicare?

Yes. Silver Sage Psychiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Silver Sage Psychiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Silver Sage Psychiatry, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Silver Sage Psychiatry, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Silver Sage Psychiatry, LLC 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 Silver Sage Psychiatry, LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.