GROS VENTRE OB/GYN, LLP
NPI 1649451907
Obstetrics & Gynecology in Jackson, WY
About Gros Ventre Ob/gyn, Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GROS VENTRE OB/GYN, LLP (NPI 1649451907) is a healthcare organization registered as an obstetrics & gynecology in Jackson, Wyoming and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through March 19, 2028 and lists Maura Lofaro, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gros Ventre Ob/gyn, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Gros Ventre Ob/Gyn, LLP, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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) 53D2038409
Gros Ventre Ob/Gyn, LLP · Jackson, WYFrequently 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 Gros Ventre Ob/Gyn, LLP's NPI number?
The NPI number for Gros Ventre Ob/Gyn, LLP is 1649451907. It was assigned to this organization in the NPPES registry on November 15, 2007.
Where is Gros Ventre Ob/Gyn, LLP located?
Gros Ventre Ob/Gyn, LLP is located at 555 E Broadway Ave Ste 108, Jackson, WY 83001. The listed phone number is (307) 734-1005.
What is Gros Ventre Ob/Gyn, LLP's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Gros Ventre Ob/Gyn, LLP enrolled in Medicare?
Yes. Gros Ventre Ob/Gyn, LLP is registered in the Medicare PECOS enrollment system.
When is Gros Ventre Ob/Gyn, LLP's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gros Ventre Ob/Gyn, LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Gros Ventre Ob/Gyn, LLP. 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 Obstetrics/Gynecology (3), Certified Nurse Midwife (CNM) (2) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gros Ventre Ob/Gyn, LLP hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 53D2038409) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gros Ventre Ob/Gyn, LLP accept?
Health plans from Blue Cross Blue Shield of Wyoming list Gros Ventre Ob/Gyn, LLP 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 Gros Ventre Ob/Gyn, LLP was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Gros Ventre Ob/gyn, Llp · NPI 1649451907
Obstetrics & Gynecology organization in Jackson, Wyoming. Organization record, active in the CMS NPPES registry since November 15, 2007.
## Identity
- **NPI:** 1649451907 (Entity type: Organization)
- **Enumerated:** November 15, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Maura Lofaro, OWNER
## Practice location
- **Address:** 555 E BROADWAY AVE STE 108, Jackson, WY 83001-8640
- **Phone:** (307) 734-1005 · **Fax:** (307) 734-1065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (3), Certified Nurse Midwife (CNM) (2), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649451907) · Data from the CMS NPPES public registry.