ROOTED WELLNESS OF WYOMING LLC
NPI 1740074368
Nurse Practitioner - Psychiatric/Mental Health in Casper, WY
About Rooted Wellness Of Wyoming Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTED WELLNESS OF WYOMING LLC (NPI 1740074368) is a healthcare organization registered as a psychiatric/mental health in Casper, Wyoming and active in the NPI registry since April 2025. The organization lists Mckenzie Frederick, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Rooted Wellness Of Wyoming 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 Rooted Wellness Of Wyoming LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Rooted Wellness Of Wyoming LLC's NPI number?
The NPI number for Rooted Wellness Of Wyoming LLC is 1740074368. It was assigned to this organization in the NPPES registry on April 8, 2025.
Where is Rooted Wellness Of Wyoming LLC located?
Rooted Wellness Of Wyoming LLC is located at 701 Antler Dr Ste 209, Casper, WY 82601. The listed phone number is (307) 462-3569.
What is Rooted Wellness Of Wyoming LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Rooted Wellness Of Wyoming LLC enrolled in Medicare?
Yes. Rooted Wellness Of Wyoming LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rooted Wellness Of Wyoming LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rooted Wellness Of Wyoming 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 Rooted Wellness Of Wyoming LLC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Rooted Wellness Of Wyoming 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 Rooted Wellness Of Wyoming LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Rooted Wellness Of Wyoming Llc · NPI 1740074368
Psychiatric/Mental Health organization in Casper, Wyoming. Organization record, active in the CMS NPPES registry since April 8, 2025.
## Identity
- **NPI:** 1740074368 (Entity type: Organization)
- **Enumerated:** April 8, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Mckenzie Frederick, OWNER
## Practice location
- **Address:** 701 ANTLER DR STE 209, Casper, WY 82601-1749
- **Phone:** (307) 462-3569
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740074368) · Data from the CMS NPPES public registry.