Eboni Shantelle Jackson
Peer Specialist β’ Cody, WY
707 Sheridan Ave
Cody, WY 824143409
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
707 Sheridan Ave
Cody, WY 824143409
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Powell, WY. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Peer Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2025
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Cody and Wyoming
2 active clinicians are listed under Peer Specialist with a practice address in Cody, WY (90 in Wyoming).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-05NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Practice Locations
507 N Clark St
Powell, WY 824351915
Phone: 3077547970
125 S Division St
Powell, WY 824352409
Phone: 3077547970
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 707 SHERIDAN AVE, CODY, WY 824143409 (Tel: 3075782486)
Registered at 707 SHERIDAN AVE, CODY, WY 824143409 (Tel: 3075782486)
NPI status registered as active in NPPES database
Registered at 125 S DIVISION ST, POWELL, WY 824352409 (Tel: 3077547970)
Registered at PO BOX 847, POWELL, WY 824350847 (Tel: 3077547970)
Recorded as EBONI JACKSON
Peer Specialist (license number reported to NPPES: WY 190)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
707 Sheridan Ave
Cody, WY 824143409
Phone: 3075782486