STEPHANY SEDMAK – Family Nurse Practitioner, NPI 1780942573

STEPHANY SEDMAK is a healthcare provider. based in Evansville, Wyoming. specializing in NURSE PRACTITIONER. They hold a License No. 55729 (WY). The NPI Number for STEPHANY SEDMAK is 1780942573

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANY SEDMAK
NPI
1780942573
Phone
(307) 253-0415
Address
616 N MYSTERY BRIDGE RD
Enumeration Date
30 April 2012
Last Update Date
29 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
1254868425
Group Practice PAC ID
3375525017
Professional Enrollment ID
I20241230001942
Address ID
WY826012951Ca419XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

596 NURSE PRACTITIONER in WY

Provider Addresses for STEPHANY SEDMAK

  • 616 N MYSTERY BRIDGE RD

    EVANSVILLE, WY 826369776

    Phone: (307) 253-0415

    Type: Mailing

  • 419 S WASHINGTON ST STE 200

    CASPER, WY 826012951

    Phone: (307) 253-0415

    Type: Location

  • 1029 E 6TH

    CASPER, WY 826013416

    Phone: (307) 253-0415

    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: 2024-12-30

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
I20241230001942INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82636)

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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: 3375525017View full group profile
NameSpecialtyState
General SurgeryWV
-WY
-IA
Nurse PractitionerWY
Vascular Surgery, General SurgeryWY
Physician AssistantWY
General Surgery, Colorectal Surgery (Proctology)WY
-WY
-WY
General SurgeryKS

Reviews

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Frequently asked questions

How is STEPHANY SEDMAK identified in CMS data?
CMS-hosted NPPES data lists STEPHANY SEDMAK with NPI 1780942573.
Does CMS list STEPHANY SEDMAK as active?
Yes — STEPHANY SEDMAK is active in the NPI listing used on this page.
What is STEPHANY SEDMAK best known for clinically?
Directory data describes STEPHANY SEDMAK with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is STEPHANY SEDMAK based?
STEPHANY SEDMAK is tied to Evansville, Wyoming in the data we show; additional addresses may exist on the full record.
Why does STEPHANY SEDMAK have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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