SAGE PSYCHIATRY SERVICES LLC
NPI 1700665577
Psychiatry & Neurology - Psychiatry in Cody, WY
About Sage Psychiatry Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAGE PSYCHIATRY SERVICES LLC (NPI 1700665577) is a healthcare organization registered as a psychiatry in Cody, Wyoming and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Krista L Blough, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Group Practice 1
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)
Sage Psychiatry Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sage Psychiatry Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 53D2336318
Sage Psychiatry Services · Cody, WYFrequently 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 Sage Psychiatry Services LLC's NPI number?
The NPI number for Sage Psychiatry Services LLC is 1700665577. It was assigned to this organization in the NPPES registry on September 21, 2023.
Where is Sage Psychiatry Services LLC located?
Sage Psychiatry Services LLC is located at 1002 Rumsey Ave Ste A, Cody, WY 82414. The listed phone number is (307) 395-7510.
What is Sage Psychiatry Services LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Sage Psychiatry Services LLC enrolled in Medicare?
Yes. Sage Psychiatry Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sage Psychiatry Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sage Psychiatry Services LLC, in Nurse Practitioner and Psychiatry. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sage Psychiatry Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 53D2336318) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sage Psychiatry Services LLC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Sage Psychiatry Services 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 Sage Psychiatry Services LLC was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sage Psychiatry Services Llc · NPI 1700665577
Psychiatry organization in Cody, Wyoming. Organization record, active in the CMS NPPES registry since September 21, 2023.
## Identity
- **NPI:** 1700665577 (Entity type: Organization)
- **Enumerated:** September 21, 2023
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Krista Blough, OWNER
## Practice location
- **Address:** 1002 RUMSEY AVE STE A, Cody, WY 82414-3533
- **Phone:** (307) 395-7510 · **Fax:** (307) 395-7511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Psychiatry (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2024
- **Other identifiers:** Other 1447491188; Other 1669740858; Other 1538432513; and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700665577) · Data from the CMS NPPES public registry.