Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Duane Bruce Mortenson, PA-C

Individual provider Physician Assistant · NPI 1578848487

Duane Bruce Mortenson, PA-C is a Physician Assistant in Jackson, Wyoming. Qualified in 2011, 15 years ago. Practices with Teton County Hospital District, a 112-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
15
Licensed in
WY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

555 E Broadway Ave Ste 207
Jackson, WY 83001-8640
Phone: (307) 733-8002
Fax: (307) 733-0032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA818 (WY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1578848487
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Teton County Hospital District — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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