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SUMMIT RELIEF JH LLC
NPI 1801641139
Nurse Practitioner in Jackson, WY

Active since April 19, 2024CLIA 53D2308451 · Waiver
320 E BROADWAY AVE UNIT 1A, JACKSON, WY 83001(307) 289-2525 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summit Relief Jh Llc NPPES

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

SUMMIT RELIEF JH LLC (NPI 1801641139) is a healthcare organization registered as a nurse practitioner in Jackson, Wyoming and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 28, 2028 and lists Carrie Ross Quinlan, Owner, as its authorized official.

NPPES Registry Identity

NPI1801641139
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSUMMIT RELIEF JH LLC
Location Address320 E BROADWAY AVE UNIT 1AJackson, WY 83001-8636
Mailing AddressPo Box 6580Jackson, WY 83002-6580 · (307) 289-2525
Phone(307) 289-2525
Organization SubpartNo
Authorized OfficialCarrie Ross QuinlanOwner · (330) 806-4427
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1801641139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
320 E BROADWAY AVE UNIT 1A, Jackson, WY 83001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Summit Relief Jh Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Summit Relief Jh LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carrie Quinlan, FNP-C
Nurse Practitioner
NPI 1942711254
625 E BROADWAY AVE
Jackson, WY 83001
(307) 739-4944
✔ PECOS✔ Accepts Medicare0.3 mi

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 53D2308451

Summit Relief Jh LLC · Jackson, WY
Active · expires Jul 28, 2028
CLIA Number53D2308451
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2026
Certificate Expiration DateJuly 28, 2028
Laboratory DirectorCarrie R. Quinlan
Laboratory Phone(307) 289-2525
Laboratory LocationSummit Relief Jh LLC320 E Broadway Ave Unit 1A, 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.

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 Summit Relief Jh LLC's NPI number?

The NPI number for Summit Relief Jh LLC is 1801641139. It was assigned to this organization in the NPPES registry on April 19, 2024.

Where is Summit Relief Jh LLC located?

Summit Relief Jh LLC is located at 320 E Broadway Ave Unit 1A, Jackson, WY 83001. The listed phone number is (307) 289-2525.

What is Summit Relief Jh LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Summit Relief Jh LLC enrolled in Medicare?

Yes. Summit Relief Jh LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Relief Jh LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Summit Relief Jh LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Summit Relief Jh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2308451) is associated with this NPI, valid through July 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Relief Jh LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Summit Relief Jh 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 Summit Relief Jh LLC was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.