Mountain Sage Holistic Clinic, LLC
NPI 1376924621 · Primary Care Nurse Practitioner · Dubois, WY
Mountain Sage Holistic Clinic, LLC is a Primary Care Nurse Practitioner organization in Dubois, WY (NPI 1376924621).
Provider details
- NPI number
- 1376924621
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Martin Baum, Business Manager(307) 455-2807
- License
- 33105.1295 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-12
- Last updated
- 2015-06-12
Frequently asked questions
- What is Mountain Sage Holistic Clinic, LLC's NPI number?
- Mountain Sage Holistic Clinic, LLC's National Provider Identifier (NPI) is 1376924621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Sage Holistic Clinic, LLC?
- Mountain Sage Holistic Clinic, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mountain Sage Holistic Clinic, LLC located?
- Mountain Sage Holistic Clinic, LLC's practice location on file with NPPES is 1428 Warm Springs Dr, Dubois, WY 82513-1428.
- What is Mountain Sage Holistic Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Sage Holistic Clinic, LLC is (307) 455-2807.
- Who is the authorized official for Mountain Sage Holistic Clinic, LLC?
- The authorized official listed on Mountain Sage Holistic Clinic, LLC's NPPES record is Martin Baum, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Sage Holistic Clinic, LLC's NPI active?
- Yes — Mountain Sage Holistic Clinic, LLC's NPI (1376924621) is active in the NPPES registry as of the last update on 2015-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.