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HOLE ORTHO LLC
NPI 1831871250
Orthopaedic Surgery in Jackson, WY

Active since August 04, 2023
555 E BROADWAY AVE STE 211, JACKSON, WY 83001(307) 699-6801(307) 733-6912 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hole Ortho Llc NPPES

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

HOLE ORTHO LLC (NPI 1831871250) is a healthcare organization registered as an orthopaedic surgery in Jackson, Wyoming and active in the NPI registry since August 2023. The organization lists Rebecca Ashley Sjostrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1831871250
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameHOLE ORTHO LLC
Location Address555 E BROADWAY AVE STE 211Jackson, WY 83001-8640
Mailing Address970 W Broadway Ste E121Jackson, WY 83001-6402 · (307) 699-6801 · Fax (307) 733-6912
Phone(307) 699-6801
Fax(307) 733-6912
Organization SubpartNo
Authorized OfficialRebecca Ashley SjostromOwner · (307) 699-6801
Enumeration DateAugust 4, 2023
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1831871250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
555 E BROADWAY AVE STE 211, 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)

Hole Ortho 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 Hole Ortho LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rebecca Sjostrom, MD
Orthopedic Surgery
NPI 1760654651
555 E BROADWAY AVE STE 211
Jackson, WY 83001
(307) 699-6801
✔ PECOSSame address

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 Hole Ortho LLC's NPI number?

The NPI number for Hole Ortho LLC is 1831871250. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is Hole Ortho LLC located?

Hole Ortho LLC is located at 555 E Broadway Ave Ste 211, Jackson, WY 83001. The listed phone number is (307) 699-6801.

What is Hole Ortho LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Hole Ortho LLC enrolled in Medicare?

Yes. Hole Ortho LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hole Ortho LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Hole Ortho 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.

What insurance does Hole Ortho LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Hole Ortho 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 Hole Ortho LLC was last updated on April 29, 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.