TETON COUNTY HOSPITAL DISTRICT
NPI 1487818605
General Practice in Jackson, WY

Active since July 16, 2008
625 E BROADWAY AVE, JACKSON, WY 83001(307) 733-3636(877) 205-2024 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2026, Apr 1, 2021, Jul 16, 2020 and 1 more (4 updates tracked since 2017).

About Teton County Hospital District NPPES

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

TETON COUNTY HOSPITAL DISTRICT (NPI 1487818605), doing business as St John's Health, is a healthcare organization registered as a general practice in Jackson, Wyoming and active in the NPI registry since July 2008. The organization lists Mitchell C Watson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1487818605
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTETON COUNTY HOSPITAL DISTRICT
Location Address625 E BROADWAY AVEJackson, WY 83001-8642
Mailing AddressPo Box 428Jackson, WY 83001-0428 · (307) 733-3636 · Fax (877) 205-2024
Fax(877) 205-2024
Organization SubpartYes
Authorized OfficialMitchell C WatsonChief Financial Officer · (307) 739-7526
Enumeration DateJuly 16, 2008
Last NPPES UpdateJanuary 3, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2026
✔ NPI 1487818605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WY · 15109
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRehabilitation UnitTaxonomy 273Y00000X
625 E BROADWAY AVE, Jackson, WY 83001

Other Names 2

Doing Business AsSt John's Health
Doing Business AsSt John's Medical Center

Other Identifiers 2

Medicaid806430200ID
Medicaid1062999-09WY

Accepted 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)

Teton County Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

114

Medicare enrollment records show 114 clinicians reassign Medicare billing to Teton County Hospital District, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 50 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner16
Certified Registered Nurse Anesthetist (CRNA)14
Internal Medicine13
Emergency Medicine9
General Surgery8
Family Practice6
Obstetrics/Gynecology6
Neurology5
19 other specialties37

Nearest to this location (20)

See all 114
Internal Medicine
NPI 1639323116
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629812987
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1780927541
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861922122
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1891141032
625 EAST BROADWAY AVE
Jackson, WY 83001
(307) 739-7250
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1649383001
625 E BROADWAY ST
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972531572
625 EAST BROADWAY BOX 428
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1447488135
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679598767
625 E BROADWAY AVE
Jackson, WY 83001
(073) 739-7218
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1891087300
625 E BROADWAY AVE
Jackson, WY 83001
(307) 739-7250
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1851350292
625 E BROADWAY
Jackson, WY 83002
(307) 739-7218
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1790719011
625 E BROADWAY AVE BLDG B
Jackson, WY 83001
(307) 739-7450
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1780797050
625 E BROADWAY
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285716746
625 E BROADWAY AVE
Jackson, WY 83001
(307) 739-6195
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669949590
625 E BROADWAY AVE
Jackson, WY 83001
(307) 739-6195
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376964544
625 E BROADWAY AVE
Jackson, WY 83001
(307) 739-7218
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164707907
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184863664
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235547803
625 E BROADWAY AVE
Jackson, WY 83001
(307) 739-7218
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1003922360
625 E BROADWAY
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts MedicareSame address
See all 114 clinicians

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 Teton County Hospital District's NPI number?

The NPI number for Teton County Hospital District is 1487818605. It was assigned to this organization in the NPPES registry on July 16, 2008. The provider is doing business as St John's Health and St John's Medical Center.

Where is Teton County Hospital District located?

Teton County Hospital District is located at 625 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-3636.

What is Teton County Hospital District's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Teton County Hospital District enrolled in Medicare?

Yes. Teton County Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teton County Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 114 clinicians in 27 Medicare specialties reassign their Medicare billing to Teton County Hospital District. 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. The largest specialties are Nurse Practitioner (16), Certified Registered Nurse Anesthetist (CRNA) (14) and Internal Medicine (13). Of these, 20 practice at this address and 50 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Teton County Hospital District accept?

Health plans from Blue Cross Blue Shield of Wyoming list Teton County Hospital District 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 Teton County Hospital District was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.