JESSE STARK MORSE BRADY (CNP) – Nurse Practitioner, NPI 1205492584

JESSE STARK MORSE BRADY (CNP) is a healthcare provider. based in Riverton, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 34354 (WY). The NPI Number for JESSE STARK MORSE BRADY (CNP) is 1205492584

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSE STARK MORSE BRADY (CNP)
NPI
1205492584
Phone
(307) 856-7071
Address
1223 E Park Ave
Enumeration Date
13 May 2019
Last Update Date
27 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073329720
Graduation Year
2019 (7 years ago)
PAC ID
9537593249
Group Practice PAC ID
9234389644
Professional Enrollment ID
I20200103001713
Address ID
WY825203491LA815XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

596 NURSE PRACTITIONER in WY

Provider Addresses for JESSE STARK MORSE BRADY (CNP)

  • 1223 E Park Ave

    Riverton, WY 825013876

    Phone: (307) 856-7071

    Fax: (307) 856-4680

    Type: Location

  • 815, East Main Street, Lander, Fremont County, Wyoming, 82520, United States

    LANDER, WY 825203491

    Phone: (307) 332-9720

    Fax: (307) 332-8206

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200103001713INurse PractitionerWYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,142120$0
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,10424$0
99214Established patient office or other outpatient visit, 30-39 minutes448288$0
20610Aspiration and/or injection of fluid from large joint333158$0
J1030Injection, methylprednisolone acetate, 40 mg30073$0
View full utilization report →

Insurance plans in this area (ZIP 82501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234389644View full group profile
NameSpecialtyState
Nurse PractitionerWY
Orthopedic SurgeryWY
Orthopedic SurgeryWY

Reviews

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Frequently asked questions

Where can patients find JESSE STARK MORSE BRADY (CNP)'s NPI?
You can confirm JESSE STARK MORSE BRADY (CNP) with NPI 1205492584; it appears in the national provider directory.
Is JESSE STARK MORSE BRADY (CNP) active in the national directory?
JESSE STARK MORSE BRADY (CNP)'s public NPI profile is in an active state.
Does JESSE STARK MORSE BRADY (CNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for JESSE STARK MORSE BRADY (CNP). Clinical services aligned with this taxonomy classification.
Where is JESSE STARK MORSE BRADY (CNP)'s primary listing?
We display Riverton, Wyoming because that is what the record indicates for JESSE STARK MORSE BRADY (CNP).
What if Riverton, Wyoming seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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