Jacy Rae Todd, is a
Nurse Practitioner - Family based in Banner, Wyoming. Jacy Rae Todd is licensed to practice in Wyoming (license number 47668) and her current practice location is
2090 Us Highway 14, Banner, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 620-5814.
NPI number for Jacy Rae Todd is 1588598205 and her current mailing address is 2090 Us Highway 14, Banner, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588598205.
Provider's Profile
| Full Name | Jacy Rae Todd |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2090 Us Highway 14, Banner, Wyoming |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588598205
- Provider Enumeration Date: 06/09/2026
- Last Update Date: 06/26/2026
Medical Identifiers
Medical identifiers for Jacy Rae Todd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588598205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 47668 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacy Rae Todd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacy Rae Todd, 2090 Us Highway 14, Banner, WY 82832-9709 Ph: (307) 620-5814 | Jacy Rae Todd, 2090 Us Highway 14, Banner, WY 82832-9709 Ph: (307) 620-5814 |
Reviews and Comments