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HETLEVIA R VILAR-JENSEN M.D.
NPI 1093755266
Family Medicine in Wetumka, OK

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
109 S MAIN ST, WETUMKA, OK 74883(405) 452-5400(405) 452-3000 Get Directions Write a Review

NPPES record last updated: November 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hetlevia R Vilar-jensen M.d. NPPES

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

HETLEVIA R VILAR-JENSEN M.D. (NPI 1093755266) is an individual family medicine provider in Wetumka, Oklahoma, licensed in Oklahoma (23895) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Hospital Henryetta, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1093755266
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHETLEVIA R VILAR-JENSENCredential: M.D.
Location Address109 S MAIN STWetumka, OK 74883-4015
Mailing AddressPo Box 11457Belfast, ME 04915-4005 · (405) 733-0313 · Fax (405) 733-0140
Phone(405) 452-5400
Fax(405) 452-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 17, 2019
✔ NPI 1093755266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 23895
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.
109 S MAIN ST, Wetumka, OK 74883
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Other Names 1

Other Name (5)Hetlevia R Jensen Md

Other Identifiers 2

Other200031400BOK · Soonercare-individual
Medicaid200031400AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hetlevia R Vilar-jensen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537147830
PECOS Enrollment IDI20040713000314
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 Hetlevia Vilar-jensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Central Oklahoma Family Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
109 S MAIN ST
Wetumka, OK 74883
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
NPI 1316196546 (405) 452-5400
Medical Resource Management, LLC
79 mi
Urgent Care
16205 N PENNSYLVANIA AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
NPI 1104056365 (405) 705-5700

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hillcrest Hospital Henryetta

Acute Care Hospitals · Henryetta, OK
OwnershipProprietary
CMS Certification Number370183
Location2401 W MainHenryetta, OK 74437 · Okmulgee County
Emergency services

Holdenville General Hospital

Critical Access Hospitals · Holdenville, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371321
Location100 Mcdougal DriveHoldenville, OK 74848 · Hughes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74883 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers24 claims24 services$199.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. STEFFANEE RENEE EDWARDS NP
Nurse Practitioner
109 S MAIN ST
WETUMKA, OK 74883
Hughes County (405) 452-5400
ROMAN CHOWINS DMD
Dentist (General Practice)
109 S MAIN ST
WETUMKA, OK 74883
Hughes County (405) 452-5400
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
109 S MAIN ST
WETUMKA, OK 74883
Hughes County (405) 452-5400
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
109 S MAIN ST
WETUMKA, OK 74883
Hughes County (405) 452-5400
STEPHANE LYNN JUDD
Nurse Practitioner
109 S MAIN ST
WETUMKA, OK 74883
Hughes County (405) 452-5400
MRS. RACHEL LINDEMANN LPC, LADC
Counselor (Professional)
109 S MAIN ST
WETUMKA, OK 74883
Hughes County (405) 452-5400

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 Hetlevia Vilar-jensen's NPI number?

The NPI number for Hetlevia Vilar-jensen is 1093755266. It was assigned to this individual provider in the NPPES registry on June 7, 2006. The provider is also known as Hetlevia R Jensen MD.

Where is Hetlevia Vilar-jensen located?

Hetlevia Vilar-jensen practices at 109 S Main St, Wetumka, OK 74883. The listed phone number is (405) 452-5400.

What is Hetlevia Vilar-jensen's specialty?

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

Is Hetlevia Vilar-jensen enrolled in Medicare?

Yes. Hetlevia Vilar-jensen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hetlevia Vilar-jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hetlevia Vilar-jensen reassigns Medicare benefits to 2 organizations: East Central Oklahoma Family Health Center, Inc. (Wetumka, OK) and Medical Resource Management, LLC (Edmond, OK). 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 Hetlevia Vilar-jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hetlevia Vilar-jensen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Hetlevia Vilar-jensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hetlevia Vilar-jensen affiliated with any hospitals?

According to CMS data, Hetlevia Vilar-jensen is affiliated with Hillcrest Hospital Henryetta and Holdenville General Hospital.

When was this NPI record last updated?

The NPPES record for Hetlevia Vilar-jensen was last updated on November 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.