1. Home
  2. Directory
  3. Wyoming
  4. Jackson
  5. Obstetrics Gynecology
  6. NPI Profile

SHANNON CHRISTINE ROBERTS MD FACOG
NPI 1396797239
Obstetrics & Gynecology in Jackson, WY

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
555 E BROADWAY AVE, STE 108, JACKSON, WY 83001(307) 734-1005(307) 734-1165 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Christine Roberts Md Facog NPPES

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

SHANNON CHRISTINE ROBERTS MD FACOG (NPI 1396797239) is an individual obstetrics & gynecology provider in Jackson, Wyoming, licensed in Wyoming (6698A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1396797239
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHANNON CHRISTINE ROBERTSCredential: MD FACOG
Location Address555 E BROADWAY AVE, STE 108Jackson, WY 83001-8640
Mailing AddressPo Box 1844Jackson, WY 83001-1844 · (307) 734-1005 · Fax (307) 734-1165
Phone(307) 734-1005
Fax(307) 734-1165
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 13, 2012
✔ NPI 1396797239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WY · 6698A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
555 E BROADWAY AVE, Jackson, WY 83001
Open in Google Maps ↗

Other Names 1

Other Name (5)Shannon Christine Luis

Other Identifiers 4

Medicare UPINH68272
Medicare UPINH68272WY
Medicaid117467300WY
Medicare PINW9217WY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Christine Roberts Md Facog is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890877922
PECOS Enrollment IDI20080129000444
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Star Valley Medical Center

Critical Access Hospitals · Afton, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531313
Location901 Adams StreetAfton, WY 83110 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DEVYN PARNES VORE PA
Physician Assistant
555 E BROADWAY AVE
JACKSON, WY 83001
Teton County (307) 733-3900
FAMILY FIRST HEALTH PC
Nurse Practitioner (Family)
555 E BROADWAY AVE, STE 218
JACKSON, WY 83001
Teton County (307) 201-1696
LAURA A COLLEBRUSCO PT
Physical Therapist
555 E BROADWAY AVE
JACKSON, WY 83001
Teton County (307) 739-7491
SARAH J PETERSON RD
Dietitian, Registered
555 E BROADWAY AVE, STE 201
JACKSON, WY 83001
Teton County (307) 739-7634
TETON COUNTY HOSPITAL DISTRICT
Home Health
555 E BROADWAY AVE, STE 115
JACKSON, WY 83001
Teton County (307) 739-7465
MEGAN ROSE AVERY PA-C
Physician Assistant (Medical)
555 E BROADWAY AVE
JACKSON, WY 83001
Teton County (307) 733-3900
MOUNTAIN THERAPY PLLC
Counselor (Professional)
555 E BROADWAY AVE, SUITE 216
JACKSON, WY 83001
Teton County (404) 483-2555
KAYLA WARD DPT
Physical Therapist
555 E BROADWAY AVE
JACKSON, WY 83001
Teton County (307) 733-3900

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 Shannon Roberts's NPI number?

The NPI number for Shannon Roberts is 1396797239. It was assigned to this individual provider in the NPPES registry on May 17, 2006. The provider is also known as Shannon Christine Luis.

Where is Shannon Roberts located?

Shannon Roberts practices at 555 E Broadway Ave Ste 108, Jackson, WY 83001. The listed phone number is (307) 734-1005.

What is Shannon Roberts's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shannon Roberts enrolled in Medicare?

Yes. Shannon Roberts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Roberts accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Shannon Roberts 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.

Is Shannon Roberts affiliated with any hospitals?

According to CMS data, Shannon Roberts is affiliated with St Johns Medical Center and Star Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Roberts was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.