MRS. JENNIFER PETTIT APRN
NPI 1114599081
Nurse Practitioner - Acute Care in Sallisaw, OK

Q: What is Jennifer Pettit's NPI number?

The NPI number for Jennifer Pettit is 1114599081. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Q: What is Jennifer Pettit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Pettit was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment

301 S J T STITES ST, SALLISAW, OK 74955(918) 774-1400 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Jan 12, 2026, Jun 25, 2025 and 2 more (5 updates tracked since 2021).

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About Mrs. Jennifer Pettit Aprn NPPES

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

MRS. JENNIFER PETTIT APRN (NPI 1114599081) is an individual acute care provider in Sallisaw, Oklahoma, licensed in Oklahoma (203920) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and maintains a secondary practice location in Sallisaw.

NPPES Registry Identity

NPI1114599081

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. JENNIFER PETTITCredential: APRN

Location Address301 S J T STITES STSallisaw, OK 74955-9302

Mailing Address301 S J T Stites StSallisaw, OK 74955-9302 · (918) 774-1400

Phone(918) 774-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 12, 2021

Last NPPES UpdateMay 27, 20265 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1114599081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OK · 203920

301 S J T STITES ST, Sallisaw, OK 74955

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Secondary Practice Location 1

Location 1103 W Choctaw AveSallisaw, OK 74955-4416 · Phone (918) 271-6058

Other Identifiers 2

Medicaid288261758OK

Medicaid288261758AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Pettit Aprn 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 ID9537524368

PECOS Enrollment IDI20230502000098

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

227 services130 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

101 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services60 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

20 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370089

Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County

Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370171

Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74955 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.

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