SOUTHWEST WYOMING ENT INC
NPI 1730335423
Otolaryngology in Evanston, WY
About Southwest Wyoming Ent Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST WYOMING ENT INC (NPI 1730335423) is a healthcare organization registered as an otolaryngology in Evanston, Wyoming and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Jason P Haack, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Southwest Wyoming Ent Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southwest Wyoming Ent Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 of Waiver 53D1096282
Southwest Wyoming Ent, Inc · Evanston, 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 Southwest Wyoming Ent Inc's NPI number?
The NPI number for Southwest Wyoming Ent Inc is 1730335423. It was assigned to this organization in the NPPES registry on August 13, 2008.
Where is Southwest Wyoming Ent Inc located?
Southwest Wyoming Ent Inc is located at 191 Overthrust Rd, Evanston, WY 82930. The listed phone number is (307) 789-8721.
What is Southwest Wyoming Ent Inc's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Southwest Wyoming Ent Inc enrolled in Medicare?
Yes. Southwest Wyoming Ent Inc is registered in the Medicare PECOS enrollment system.
When is Southwest Wyoming Ent Inc'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 (Wyoming, Clinic/Group Practice) is due for revalidation by February 28, 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 Southwest Wyoming Ent Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southwest Wyoming Ent Inc, in Nurse Practitioner and Otolaryngology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southwest Wyoming Ent Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 53D1096282) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southwest Wyoming Ent Inc accept?
Health plans from Blue Cross Blue Shield of Wyoming list Southwest Wyoming Ent Inc 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 Southwest Wyoming Ent Inc was last updated on October 24, 2013. 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.
# Southwest Wyoming Ent Inc · NPI 1730335423
Otolaryngology organization in Evanston, Wyoming. Organization record, active in the CMS NPPES registry since August 13, 2008.
## Identity
- **NPI:** 1730335423 (Entity type: Organization)
- **Enumerated:** August 13, 2008
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Jason Haack, OWNER
## Practice location
- **Address:** 191 OVERTHRUST RD, Evanston, WY 82930-9261
- **Phone:** (307) 789-8721 · **Fax:** (307) 789-8664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Wyoming, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Otolaryngology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730335423) · Data from the CMS NPPES public registry.