MRS. RAULI JO PERRY (WHNP-BC) – Women's Health Nurse Practitioner, NPI 1144982190
Women's Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
596 NURSE PRACTITIONER in WY
Provider Addresses for MRS. RAULI JO PERRY (WHNP-BC)
409 South Fremont Ave
Pinedale, WY 82941
Phone: (208) 404-5228
Fax: (208) 352-6019
Type: Location
PO BOX 1333
PINEDALE, WY 829411333
Phone: (208) 404-5228
Type: Mailing
625 E HENNICK ST
PINEDALE, WY 829415228
Phone: (307) 367-4133
Fax: (307) 367-6636
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-8748
Type: Mailing
801 POLE LINE RD W STE 3880
TWIN FALLS, ID 833015811
Phone: (208) 814-8500
Fax: (208) 814-8960
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Exeltis, USA Inc. ($32).
Total Amount
$78
General + Research + Ownership
Payments
5
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $32 |
| Organon LLC | $18 |
| Hologic Sales and Service, LLC | $14 |
| Pacira Pharmaceuticals Incorporated | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220120001486 | I | Nurse Practitioner | ID | TBD |
| I20251205003885 | I | Nurse Practitioner | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 82941)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WY | |
| Physician Assistant | WY | |
| Family Practice, Emergency Medicine | ID | |
| Physician Assistant | WY | |
| Family Practice | WY | |
| Family Practice, Emergency Medicine | WY | |
| Internal Medicine, Family Practice | WI |
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