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

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: October 25, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

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

Medicare Billing Reassignment

Medicare enrollment records show Jerry Gregory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chickasaw Nation Division Of Health
Same address
General Acute Care Hospital
1921 STONECIPHER BLVD
Ada, OK 74820
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
  • 324 clinicians in this Medicare group
NPI 1255364923 (580) 421-4570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
MISS LUCRETIA RENEE BARKER M.D.
Obstetrics & Gynecology
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
SHELBY BIGELOW LPC
Counselor (Mental Health)
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
DARLENE SECK
Dietitian, Registered
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
JESSICA FRANKFURT CNM
Advanced Practice Midwife
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
DR. DANIELLE RENEE BURKDOLL D.O.
Surgery
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
DANIEL J ALLMAN
Physical Therapist
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 421-4570
DR. JAMES L GREEN DO
Family Medicine
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980

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 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.

Where is Jerry Gregory located?

Jerry Gregory practices at 1921 Stonecipher Blvd, Ada, OK 74820. The listed phone number is (580) 421-4570.

What is Jerry Gregory's specialty?

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

Is Jerry Gregory enrolled in Medicare?

Yes. Jerry Gregory 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 organization bills Medicare for Jerry Gregory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Gregory reassigns Medicare benefits to Chickasaw Nation Division Of Health (Ada, OK). The 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 Jerry Gregory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Gregory accept?

Health plans from Oscar Insurance Company list Jerry Gregory 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 Jerry Gregory affiliated with any hospitals?

According to CMS data, Jerry Gregory is affiliated with Chickasaw Nation Medical Center.

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 19 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.