MRS. SAMARA JA'NEL JACK PA-C
NPI 1245550433
Physician Assistant in Tulsa, OK
About Mrs. Samara Ja'nel Jack Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SAMARA JA'NEL JACK PA-C (NPI 1245550433) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (1919) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Samara Ja'nel Jack Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samara Jack's NPI number?
The NPI number for Samara Jack is 1245550433. It was assigned to this individual provider in the NPPES registry on June 10, 2010. The provider is also known as Ms. Samara Ja'nel Ramsey Pa-C.
Where is Samara Jack located?
Samara Jack practices at 7858 S Olympia Ave, Tulsa, OK 74132. The listed phone number is (918) 986-9200.
What is Samara Jack's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Samara Jack enrolled in Medicare?
Yes. Samara Jack is registered in the Medicare PECOS enrollment system.
What insurance does Samara Jack accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Samara Jack 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.
When was this NPI record last updated?
The NPPES record for Samara Jack was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Samara Ja'nel Jack, PA-C · NPI 1245550433
Physician Assistant physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since June 10, 2010.
## Identity
- **NPI:** 1245550433 (Entity type: Individual)
- **Enumerated:** June 10, 2010
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 1919 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 7858 S OLYMPIA AVE, Tulsa, OK 74132-1857
- **Phone:** (918) 986-9200 · **Fax:** (918) 986-9205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1245550433) · Data from the CMS NPPES public registry.