JESSICA LEE LUETKEMEYER PA-C
NPI 1003111972
Physician Assistant in Tulsa, OK

Active since January 24, 2011
1111 S SAINT LOUIS AVE, TULSA, OK 74120(918) 619-4400(918) 619-4696 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Lee Luetkemeyer Pa-c NPPES

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

JESSICA LEE LUETKEMEYER PA-C (NPI 1003111972) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (1960) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1003111972
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA LEE LUETKEMEYERCredential: PA-C
Location Address1111 S SAINT LOUIS AVETulsa, OK 74120-5440
Mailing Address4502 E 41st StTulsa, OK 74135-2536 · (186) 194-4009
Fax(918) 619-4696
Sole ProprietorNo
Enumeration DateJanuary 24, 2011
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 8, 2022
NPI 1003111972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 1960
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 S SAINT LOUIS AVE, Tulsa, OK 74120

Other Names 1

Former Name (1)Jessica Lee Heitert

Other Identifiers 1

Medicaid200318540AOK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1111 S SAINT LOUIS AVE
TULSA, OK 74120
Student in an Organized Health Care Education/Training Program
1111 S SAINT LOUIS AVE
TULSA, OK 74120
Student in an Organized Health Care Education/Training Program
1111 S SAINT LOUIS AVE
TULSA, OK 74120
Family Medicine
1111 S SAINT LOUIS AVE
TULSA, OK 74120
Student in an Organized Health Care Education/Training Program
1111 S SAINT LOUIS AVE
TULSA, OK 74120
Student in an Organized Health Care Education/Training Program
1111 S SAINT LOUIS AVE
TULSA, OK 74120
Student in an Organized Health Care Education/Training Program
1111 S SAINT LOUIS AVE
TULSA, OK 74120
Family Medicine
1111 S SAINT LOUIS AVE
TULSA, OK 74120

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 Jessica Luetkemeyer's NPI number?

The NPI number for Jessica Luetkemeyer is 1003111972. It was assigned to this individual provider in the NPPES registry on January 24, 2011. The provider is also known as Jessica Lee Heitert.

Where is Jessica Luetkemeyer located?

Jessica Luetkemeyer practices at 1111 S Saint Louis Ave, Tulsa, OK 74120. The listed phone number is (918) 619-4400.

What is Jessica Luetkemeyer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessica Luetkemeyer was last updated on June 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.