Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robin Sproule

Individual provider Medical Physician Assistant · NPI 1497154975

Robin Sproule is a Physician Assistant in Jackson, Wyoming. Qualified in 1992, 34 years ago. Practices with Teton Dermatology LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Colorado and Wyoming.

Years since qualifying
34
Licensed in
CO, WY
In the registry since
2014
Specialties on file
3

Practice location Address checks out

984 W Broadway Ste 4
Jackson, WY 83001
Phone: (307) 734-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA676 (WY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2107 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2107 (CO)

Record details

NPI number1497154975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2014
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 5, 2023
Mailing address984 W. Broadway, Ste. 4, Jackson, WY 83001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Teton Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jackson