MRS. CARLY JANE WASSERBACH APRN
NPI 1962265793
Nurse Practitioner - Psychiatric/Mental Health in Casper, WY

Active since February 05, 2024Opted out of Medicare · through Aug 28, 2027
2862 ARDON LN, CASPER, WY 82609(307) 249-3543(904) 748-2569 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carly Jane Wasserbach Aprn NPPES

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

MRS. CARLY JANE WASSERBACH APRN (NPI 1962265793) is an individual psychiatric/mental health provider in Casper, Wyoming, licensed in Wyoming (53202) and active in the NPI registry since February 2024. She has opted out of Medicare through August 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962265793
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CARLY JANE WASSERBACHCredential: APRN
Location Address2862 ARDON LNCasper, WY 82609-3900
Mailing Address2862 Ardon LnCasper, WY 82609-3900 · (307) 249-3543 · Fax (904) 748-2569
Fax(904) 748-2569
Sole ProprietorNo
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 4, 2024
NPI 1962265793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WY · 53202
2862 ARDON LN, Casper, WY 82609

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Carly Jane Wasserbach Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2025 through August 28, 2027.

Opt-Out Effective DateAugust 28, 2025
Opt-Out In Effect ThroughAugust 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82609 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2862 ARDON LN
CASPER, WY 82609

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 Carly Wasserbach's NPI number?

The NPI number for Carly Wasserbach is 1962265793. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Carly Wasserbach located?

Carly Wasserbach practices at 2862 Ardon Ln, Casper, WY 82609. The listed phone number is (307) 249-3543.

What is Carly Wasserbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carly Wasserbach enrolled in Medicare?

No. Carly Wasserbach has opted out of Medicare through August 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carly Wasserbach accept?

Health plans from Blue Cross Blue Shield of Wyoming list Carly Wasserbach 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 Carly Wasserbach was last updated on February 5, 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.