JERRY GREGORY
NPI 1467400069
Nurse Anesthetist, Certified Registered in Ada, OK

Q: What is Jerry Gregory's NPI number?

The NPI number for Jerry Gregory is 1467400069. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Jerry Gregory's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Gregory was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 05, 2006Accepts Medicare Assignment

1921 STONECIPHER BLVD, ADA, OK 74820(580) 421-4570(580) 421-6258 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry Gregory NPPES

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

JERRY GREGORY (NPI 1467400069) is an individual nurse anesthetist, certified registered in Ada, Oklahoma, licensed in Oklahoma (M0045729) and active in the NPI registry since May 2006. He is affiliated with Chickasaw Nation Medical Center and is a graduate of Other (1981).

NPPES Registry Identity

NPI1467400069

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJERRY GREGORY

Location Address1921 STONECIPHER BLVDAda, OK 74820

Mailing Address1921 Stonecipher BlvdAda, OK 74820 · (580) 421-4570 · Fax (580) 421-6258

Phone(580) 421-4570

Fax(580) 421-6258

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateMay 5, 2006

Last NPPES UpdateMarch 11, 2025

NPPES CertifiedMarch 11, 2025

✔ NPI 1467400069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OK · M0045729

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1921 STONECIPHER BLVD, Ada, OK 74820

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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 and accepts Medicare assignment

Jerry Gregory 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 ID648309914

PECOS Enrollment IDI20100525000340

Hospital Affiliations CMS Care Compare

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

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370180

Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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. JOSHUA ALLEN MAYO DDS

Dentist