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PAINTBRUSH PEDIATRICS, LC
NPI 1235862681
Pediatrics in Jackson, WY

Active since July 04, 2022
555 E BROADWAY AVE STE 202, JACKSON, WY 83001(307) 733-6520(307) 733-3216 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paintbrush Pediatrics, Lc NPPES

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

PAINTBRUSH PEDIATRICS, LC (NPI 1235862681) is a healthcare organization registered as a pediatrics in Jackson, Wyoming and active in the NPI registry since July 2022. The organization lists Jacquelin Foss Hardenbrook, Owner, as its authorized official.

NPPES Registry Identity

NPI1235862681
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePAINTBRUSH PEDIATRICS, LC
Location Address555 E BROADWAY AVE STE 202Jackson, WY 83001-8640
Mailing AddressPo Box 4182Jackson, WY 83001-4182 · (307) 733-6520 · Fax (307) 733-3216
Phone(307) 733-6520
Fax(307) 733-3216
Organization SubpartNo
Authorized OfficialJacquelin Foss HardenbrookOwner · (307) 733-6520
Enumeration DateJuly 4, 2022
NPPES CertifiedJuly 4, 2022
✔ NPI 1235862681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
555 E BROADWAY AVE STE 202, Jackson, WY 83001
Open in Google Maps ↗

Other Identifiers 3

Other1750466405Npi
Other1669891099Npi
Other1568039600Npi

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 of Waiver 53D2266621

Paintbrush Pediatrics, Lc · Jackson, WY
Expired · Aug 11, 2026
CLIA Number53D2266621
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorJacquelin F. Hardenbrook
Laboratory Phone(307) 733-6520
Laboratory LocationPaintbrush Pediatrics, Lc555 East Broadway Ave, Suite 202, Jackson, WY 83001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. JACQUELIN FOSS HARDENBROOK M.D.
Pediatrics
555 E BROADWAY AVE STE 202
JACKSON, WY 83001
Teton County (307) 733-6520
TETON PEDIATRICS PC
Pediatrics
555 E BROADWAY AVE STE 202
JACKSON, WY 83001
Teton County (307) 733-6520
DR. JEREMY STEWART HERTZIG M.D.
Pediatrics
555 E BROADWAY AVE STE 202
JACKSON, WY 83001
Teton County (307) 733-6520

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 Paintbrush Pediatrics, Lc's NPI number?

The NPI number for Paintbrush Pediatrics, Lc is 1235862681. It was assigned to this organization in the NPPES registry on July 4, 2022.

Where is Paintbrush Pediatrics, Lc located?

Paintbrush Pediatrics, Lc is located at 555 E Broadway Ave Ste 202, Jackson, WY 83001. The listed phone number is (307) 733-6520.

What is Paintbrush Pediatrics, Lc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Paintbrush Pediatrics, Lc accept?

Health plans from Blue Cross Blue Shield of Wyoming list Paintbrush Pediatrics, Lc 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 Paintbrush Pediatrics, Lc was last updated on July 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.