Black Mountain Wellness – Multi-Specialty Clinic/Center, NPI 1114800562

Black Mountain Wellness is a healthcare provider. based in Casper, Wyoming. specializing in Multi-Specialty Clinic/Center. The NPI Number for Black Mountain Wellness is 1114800562

Main info

Organization
Name
Black Mountain Wellness
NPI
1114800562
Phone
(307) 267-6150
Address
560 GRANITE PEAK DR APT 102
Authorized Official
KATI JO TUMA OWNER MMS, PA-C
Enumeration Date
30 July 2025
Last Update Date
30 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness90
Years active:0State licenses:0Digital endpoints

Provider Addresses for Black Mountain Wellness

  • 560 GRANITE PEAK DR APT 102

    CASPER, WY 826094522

    Phone: (307) 267-6150

    Fax: (833) 986-3605

    Type: Mailing

  • 1314 SHUROS DR

    FAIRBANKS, AK 997096740

    Phone: (307) 267-6150

    Fax: (833) 986-3605

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 82609)

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Reviews

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Frequently asked questions

What identifier follows Black Mountain Wellness across health systems?
The NPI 1114800562 uniquely identifies Black Mountain Wellness in U.S. healthcare data.
Quick check: is Black Mountain Wellness active?
Public NPPES data shows Black Mountain Wellness with an active NPI status right now.
What type of care does Black Mountain Wellness provide?
Black Mountain Wellness's profile centers on Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What city is tied to Black Mountain Wellness?
The directory associates Black Mountain Wellness with Casper, Wyoming. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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