ROCKY MOUNTAIN ROGUES, INC. — NPI 1992309579 (Licensed & Credentialed Meals in ALPINE, WY)

CMS-1500 Box 24J / 33a • NPI

1992309579

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

174200000X

Licensed & Credentialed Meals

Box 32 Service Location & ZIP+4

91 US HIGHWAY 89, ALPINE, WY, 83128

Official NPPES Practice Location

Practice Phone & Referral Fax

(307) 654-7593

Fax: (307) 654-7494

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1992309579 (ROCKY MOUNTAIN ROGUES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1992309579` (NPI-2 Organization / Facility)
Provider / Legal Name	ROCKY MOUNTAIN ROGUES, INC.
Plain-English Specialty	Licensed & Credentialed Meals NUCC Code: `174200000X` (Meals)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	91 US HIGHWAY 89, ALPINE, WY, 83128
Practice Telephone / Fax	Tel: (307) 654-7593 \| Fax: (307) 654-7494
Administrative Mailing Address	PO BOX 3447, ALPINE, WY, 83128-0447
Enumeration & Last Sync	Enumerated: 2020-11-24 \| CMS Record Updated: 2020-11-24
Authorized Official	JULINE CHRISTOFFERSON (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

91 US HIGHWAY 89, ALPINE, WY, 83128

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Plain-English Taxonomy & CMS Crosswalk (174200000X)

What Does Taxonomy Code 174200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174200000X translates to:
"Licensed & Credentialed Meals"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Meals for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ROCKY MOUNTAIN ROGUES, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174200000X` — Meals Plain English: Licensed & Credentialed Meals	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ROCKY MOUNTAIN ROGUES, INC. (NPI #1992309579)