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JACKSON WHOLE FAMILY HEALTH, INC.
NPI 1053519918
Nurse Practitioner - Family in Jackson, WY

Active since July 03, 2007
1110 MAPLE WAY, JACKSON, WY 83001(307) 733-7003(307) 734-8477 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jackson Whole Family Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON WHOLE FAMILY HEALTH, INC. (NPI 1053519918) is a healthcare organization registered as a family in Jackson, Wyoming and active in the NPI registry since July 2007. The organization lists Jackie L Ocker, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053519918
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJACKSON WHOLE FAMILY HEALTH, INC.
Location Address1110 MAPLE WAYJackson, WY 83001
Mailing AddressPo Box 10738Jackson, WY 83002-0738 · (307) 733-7003 · Fax (307) 734-8477
Phone(307) 733-7003
Fax(307) 734-8477
Organization SubpartNo
Authorized OfficialJackie L OckerOffice Manager · (307) 733-7003
Enumeration DateJuly 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053519918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1110 MAPLE WAY, Jackson, WY 83001
Open in Google Maps ↗

Other Identifiers 1

Other00581001WY · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Whole Family Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jackson Whole Family Health, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Charlotte Mason, FNP
Nurse Practitioner
NPI 1710069273
1110 MAPLE WAY
Jackson, WY 83002
(307) 733-7003
✔ PECOS✔ Accepts MedicareSame address
Kimberly Mellick, MSN, FNP-BC
Nurse Practitioner
NPI 1073897930
1110 MAPLE WAY
Jackson, WY 83001
(307) 733-7003
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Whole Family Health, Inc.'s NPI number?

The NPI number for Jackson Whole Family Health, Inc. is 1053519918. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Jackson Whole Family Health, Inc. located?

Jackson Whole Family Health, Inc. is located at 1110 Maple Way, Jackson, WY 83001. The listed phone number is (307) 733-7003.

What is Jackson Whole Family Health, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jackson Whole Family Health, Inc. enrolled in Medicare?

Yes. Jackson Whole Family Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Whole Family Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Jackson Whole Family Health, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackson Whole Family Health, Inc. accept?

Health plans from Blue Cross Blue Shield of Wyoming list Jackson Whole Family Health, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Whole Family Health, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.