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

Shannon Christine Roberts, MDFACOG

Individual provider Obstetrics & Gynecology Physician · NPI 1396797239

Shannon Christine Roberts, MDFACOG is an Obstetrics/Gynecology in Jackson, Wyoming. Qualified in 1989, 37 years ago. Practices with Gros Ventre Ob-Gyn LLP, a 4-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
37
Licensed in
WY
In the registry since
2006

Practice location Address checks out

555 E Broadway Ave Ste 108
Jackson, WY 83001-8640
Phone: (307) 734-1005
Fax: (307) 734-1165
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 6698A (WY)

Record details

NPI number1396797239
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDFACOG
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESDecember 13, 2012

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Gros Ventre Ob-Gyn Llp — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson