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JOLENE JESSICA LOBO
NPI 1013605575
Family Medicine in Ada, OK

Active since April 24, 2023PECOS Enrolled
1921 STONECIPHER DR, ADA, OK 74820(800) 851-9136 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Jul 17, 2024 (2 updates tracked since 2024).

About Jolene Jessica Lobo NPPES

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

JOLENE JESSICA LOBO (NPI 1013605575) is an individual family medicine provider in Ada, Oklahoma, licensed in California (A206710) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013605575
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJOLENE JESSICA LOBO
Location Address1921 STONECIPHER DRAda, OK 74820-3439
Mailing Address1400 Florida Ave Ste 102Modesto, CA 95350-4446 · (505) 417-2579
Phone(800) 851-9136
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 24, 2023
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1013605575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A206710
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License A206710 (CA)
1921 STONECIPHER DR, Ada, OK 74820
Open in Google Maps ↗

Secondary Practice Location 1

Location 134 Mark West Springs Rd Fl 2Santa Rosa, CA 95403-1783 · Phone (707) 573-5416

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jolene Jessica Lobo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052885928
PECOS Enrollment IDI20260701001860
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jolene Lobo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation
1,399 mi
Multi-Specialty
1315 ALHAMBRA BLVD STE 210
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1003267196 (916) 732-4380
Santa Rosa Community Health Centers
1,467 mi
Federally Qualified Health Center (FQHC)
301 6TH STREET, SUITE 214
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group
NPI 1467180430 (707) 387-3214

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TRAVIS L TEEL PA
Physician Assistant
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
DR. OLIVIA DANIELLE REED D.O.
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4570
LAURA COLEEN BYOUS-SCHAEFER APRN-CNM
Midwife
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
LAUREN LITTLE AXE PA
Physician Assistant (Medical)
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
WHITNEY THOMAS
Counselor
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4591
CRYSTALLE M EVANS D.O.
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4526
DR. MARTY RAY SCANTLEN D.D.S.
Dentist
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
ERIC VINCENT HARRIS DO
Family Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-2969

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 Jolene Lobo's NPI number?

The NPI number for Jolene Lobo is 1013605575. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Jolene Lobo located?

Jolene Lobo practices at 1921 Stonecipher Dr, Ada, OK 74820. The listed phone number is (800) 851-9136.

What is Jolene Lobo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jolene Lobo enrolled in Medicare?

Yes. Jolene Lobo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jolene Lobo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolene Lobo reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Sacramento, CA) and Santa Rosa Community Health Centers (Santa Rosa, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jolene Lobo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jolene Lobo was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.