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

Q: 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.

Q: 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.

Active since July 03, 2007CLIA 53D0520213 · Microscopy

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: July 26, 2026.

On this page

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 holds a CLIA Microscopy certificate valid through August 31, 2026 and 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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 53D0520213

Jackson Whole Family Health · Jackson, WY

Active · expires Aug 31, 2026

CLIA Number53D0520213

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorCharlotte Mason

Laboratory Phone(307) 733-7003

Laboratory LocationJackson Whole Family Health1110 Maple Way, Jackson, WY 83001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIMBERLY ANN MELLICK MSN, FNP-BC

Nurse Practitioner (Family)

1110 MAPLE WAY
JACKSON, WY 83001

Teton County (307) 733-7003

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.

Does Jackson Whole Family Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D0520213) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.