STUART ANDREW JACK
NPI 1255950713
Internal Medicine in Tulsa, OK
About Stuart Andrew Jack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STUART ANDREW JACK (NPI 1255950713) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Florida (ME167093) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Stuart Andrew Jack 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stuart Jack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 210 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,719 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth North Pinellas
Acute Care Hospitals · Tarpon Springs, FLFlorida Hospital Carrollwood
Acute Care Hospitals · Tampa, FLAdventhealth Tampa
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TULSA, OK 74135
TULSA, OK 74135
TULSA, OK 74135
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 Stuart Jack's NPI number?
The NPI number for Stuart Jack is 1255950713. It was assigned to this individual provider in the NPPES registry on April 14, 2020.
Where is Stuart Jack located?
Stuart Jack practices at 4502 E 41st St, Tulsa, OK 74135. The listed phone number is (918) 619-4400.
What is Stuart Jack's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Stuart Jack enrolled in Medicare?
Yes. Stuart Jack 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 Stuart Jack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stuart Jack reassigns Medicare benefits to 2 organizations: Tulsa Hospital Medicine Physicians Group, LLC (Tulsa, OK) and Florida Hospital Physician Group Inc (Tampa, FL). 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 Stuart Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stuart Jack accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Stuart 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.
Is Stuart Jack affiliated with any hospitals?
According to CMS data, Stuart Jack is affiliated with Adventhealth North Pinellas, Florida Hospital Carrollwood and Adventhealth Tampa.
When was this NPI record last updated?
The NPPES record for Stuart Jack was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stuart Andrew Jack · NPI 1255950713
Internal Medicine physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 14, 2020.
## Identity
- **NPI:** 1255950713 (Entity type: Individual)
- **Enumerated:** April 14, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME167093 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4502 E 41ST ST, Tulsa, OK 74135-2536
- **Phone:** (918) 619-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tulsa Hospital Medicine Physicians Group, LLC (NPI 1144982711, Tulsa, OK); Florida Hospital Physician Group Inc (NPI 1174955256, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255950713) · Data from the CMS NPPES public registry.