JASON MOMMAERTS PA-C
NPI 1053685966
Physician Assistant in Oklahoma City, OK

Q: What is Jason Mommaerts's NPI number?

The NPI number for Jason Mommaerts is 1053685966. It was assigned to this individual provider in the NPPES registry on February 24, 2012.

Q: What is Jason Mommaerts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Mommaerts was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 24, 2012PECOS Enrolled

921 NE 13TH ST, OKLAHOMA CITY, OK 73104(405) 456-1000 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2026, Nov 2, 2016 (2 updates tracked since 2016).

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About Jason Mommaerts Pa-c NPPES

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

JASON MOMMAERTS PA-C (NPI 1053685966) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (PA5627) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053685966

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJASON MOMMAERTSCredential: PA-C

Location Address921 NE 13TH STOklahoma City, OK 73104-5007

Mailing Address921 Ne 13th StOklahoma City, OK 73104-5007

Phone(405) 456-1000

Sole ProprietorNo

Enumeration DateFebruary 24, 2012

Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1053685966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in OK · PA5627✔ Licensed in CA · PA62166✔ Licensed in TX · PA17224

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.

921 NE 13TH ST, Oklahoma City, OK 73104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Mommaerts Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.