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JASON TYLER GORDON GRAHAM NP
NPI 1285317735
Nurse Practitioner - Family in Poteau, OK

Active since August 10, 2023PECOS EnrolledAccepts Medicare Assignment
104 WALL ST, POTEAU, OK 74953(918) 635-3508(918) 635-3550 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Aug 10, 2023 (2 updates tracked since 2023).

About Jason Tyler Gordon Graham Np NPPES

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

JASON TYLER GORDON GRAHAM NP (NPI 1285317735) is an individual family provider in Poteau, Oklahoma, licensed in Arkansas (222349) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Eastern Oklahoma Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285317735
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJASON TYLER GORDON GRAHAMCredential: NP
Location Address104 WALL STPoteau, OK 74953-4405
Mailing Address105 Wall StPoteau, OK 74953-4433 · (918) 635-3566 · Fax (918) 635-3568
Phone(918) 635-3508
Fax(918) 635-3550
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 10, 2023
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1285317735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 222349
104 WALL ST, Poteau, OK 74953
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Health Advantage and more.Insurance ›

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

Jason Tyler Gordon Graham Np 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 ID7416311709
PECOS Enrollment IDI20240924003121
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.

Hospital Affiliations CMS Care Compare

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

Eastern Oklahoma Medical Center

Critical Access Hospitals · Poteau, OK
OwnershipGovernment - Local
CMS Certification Number371337
Location105 Wall StreetPoteau, OK 74953 · Le Flore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74953 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 6

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

LEFLORE COUNTY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
104 WALL ST
POTEAU, OK 74953
Le Flore County (918) 647-8635
DR. KASSANDRA L PAYNE DO
Family Medicine
104 WALL ST
POTEAU, OK 74953
Le Flore County (918) 647-8635
DR. WILLIAM A WILLIS M.D.
General Practice
104 WALL ST
POTEAU, OK 74953
Le Flore County (918) 839-2159
JOCELYN NEWTON APRN
Nurse Practitioner (Primary Care)
104 WALL ST
POTEAU, OK 74953
Le Flore County (918) 635-3519
DR. JANET L GARVIN D.O.
Family Medicine
104 WALL ST
POTEAU, OK 74953
Le Flore County (918) 635-3508
DR. NANCY CHRISTENE MERRITT D.O.
Internal Medicine
104 WALL ST
POTEAU, OK 74953
Le Flore County (918) 635-3545

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 Jason Graham's NPI number?

The NPI number for Jason Graham is 1285317735. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Jason Graham located?

Jason Graham practices at 104 Wall St, Poteau, OK 74953. The listed phone number is (918) 635-3508.

What is Jason Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jason Graham enrolled in Medicare?

Yes. Jason Graham 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.

What insurance does Jason Graham accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Health Advantage, Octave and UnitedHealthcare list Jason Graham 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 Jason Graham affiliated with any hospitals?

According to CMS data, Jason Graham is affiliated with Eastern Oklahoma Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Graham was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.