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JESSICA DAWN BLALOCK
NPI 1114705472
Emergency Medicine in Oklahoma City, OK

Active since September 18, 2023PECOS Enrolled
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109(405) 636-7000 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jessica Dawn Blalock NPPES

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

JESSICA DAWN BLALOCK (NPI 1114705472) is an individual emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (9763) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114705472
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJESSICA DAWN BLALOCK
Location Address4401 S WESTERN AVEOklahoma City, OK 73109-3413
Mailing Address4401 S Western AveOklahoma City, OK 73109-3413 · (405) 636-7000
Phone(405) 636-7000
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1114705472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 9763
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4401 S WESTERN AVE, Oklahoma City, OK 73109
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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)

Jessica Dawn Blalock 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 73109 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.

DR. HUNTER DALE COOK D.O
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7709
MARCIA R PALMER PA
Physician Assistant
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 713-4740
DR. DAVID BRENNAN DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7000
DR. LAUREN L. FITZGERALD MD
Anesthesiology
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (918) 392-2944
MS. JILL DIMOND MOORE MS, C.C.C.
Speech-Language Pathologist
4401 S WESTERN AVE, DEPT. 2004215
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7131
DR. JUSTIN ANDRE NALAGAN M.D.
Hospitalist
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 713-7403
DAVID ALEXANDER ORBAN DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7000
MATTHEW RAY WHITTAKER DO
Emergency Medicine
4401 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7195

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 Blalock's NPI number?

The NPI number for Jessica Blalock is 1114705472. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Jessica Blalock located?

Jessica Blalock practices at 4401 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (405) 636-7000.

What is Jessica Blalock's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jessica Blalock enrolled in Medicare?

Yes. Jessica Blalock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Blalock was last updated on June 19, 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.