TETON OUTPATIENT SERVICES LLC
NPI 1689651481
Clinic/Center - Ambulatory Surgical in Jackson, WY

Active since December 22, 2005CLIA 53D0977879 · Waiver
150 BUFFALO WAY, JACKSON, WY 83001(307) 733-8677(307) 734-7365 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2021, Jun 24, 2020, Oct 20, 2017 (3 updates tracked since 2017).

About Teton Outpatient Services Llc NPPES

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

TETON OUTPATIENT SERVICES LLC (NPI 1689651481) is a healthcare organization registered as an ambulatory surgical in Jackson, Wyoming and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1689651481
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTETON OUTPATIENT SERVICES LLC
Location Address150 BUFFALO WAYJackson, WY 83001-2530
Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (307) 733-8677 · Fax (307) 734-7365
Fax(307) 734-7365
Organization SubpartNo
Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 24, 20243 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
NPI 1689651481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in WY · 0713016
150 BUFFALO WAY, Jackson, WY 83001

Other Identifiers 2

Medicaid113599600WY
Other490004244WY · Railroad Medicare

Accepted 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 53D0977879

Teton Outpatient Services LLC · Jackson, WY
Active · expires Sep 7, 2026
CLIA Number53D0977879
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorMatthew W. Zeleznik
Laboratory Phone(307) 733-8677
Laboratory LocationTeton Outpatient Services LLC150 Buffalo Way, 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.

Areas of Expertise CMS Part B claims 15

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
520 services252 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
113 services77 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
69 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
69 services69 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
64 services61 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
52 services23 patients

Other Providers at the Same Location NPPES 2

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

Nurse Anesthetist, Certified Registered
150 BUFFALO WAY
JACKSON, WY 83001
Anesthesiology
150 BUFFALO WAY
JACKSON, WY 83001

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 Outpatient Services LLC's NPI number?

The NPI number for Teton Outpatient Services LLC is 1689651481. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Teton Outpatient Services LLC located?

Teton Outpatient Services LLC is located at 150 Buffalo Way, Jackson, WY 83001. The listed phone number is (307) 733-8677.

What is Teton Outpatient Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Teton Outpatient Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0977879) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Teton Outpatient Services LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Teton Outpatient Services LLC 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 Outpatient Services LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.