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KATIE ELIZABETH JACKSON MD
NPI 1649538414
Pediatrics in Tulsa, OK

Active since April 30, 2012PECOS Enrolled
6161 S YALE AVE, TULSA, OK 74136(918) 494-2200 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jul 25, 2017 (2 updates tracked since 2017).

About Katie Elizabeth Jackson Md NPPES

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

KATIE ELIZABETH JACKSON MD (NPI 1649538414) is an individual pediatrics provider in Tulsa, Oklahoma, licensed in Oklahoma (30652) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1649538414
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATIE ELIZABETH JACKSONCredential: MD
Location Address6161 S YALE AVETulsa, OK 74136-1902
Mailing Address6161 S Yale AveTulsa, OK 74136-1902
Phone(918) 494-2200
Sole ProprietorNo
Enumeration DateApril 30, 2012
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1649538414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 30652
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6161 S YALE AVE, Tulsa, OK 74136
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Other Names 1

Former Name (1)Katie Elizabeth Atnip

Secondary Practice Location 1

Location 11901 SW H K Dodgen LoopTemple, TX 76502-1814 · Phone (254) 935-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Molina Healthcare.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)

Katie Elizabeth Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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 20

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

ALEX BRYAN OLSEN M.D.
Surgery (Surgical Critical Care)
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1805
HOI Y CHAN MD
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-6161
PAMELA THACKER KANTNER RPT
Physical Therapist
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1471
MRS. TRINA M VANNATTA PTA
Physical Therapy Assistant
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1471
SAINT FRANCIS HOSPITAL, INC.
Rehabilitation Unit
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 502-8000
CARE COMMUNICATIONS LLC
General Acute Care Hospital (Critical Access)
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 494-1805
EMERGENCY MEDICINE PHYSICIANS OF TULSA COUNTY, LLC
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (844) 474-4019
PRASOONKUMAR YENDLURI MD
Hospitalist
6161 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 502-1900

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 Katie Jackson's NPI number?

The NPI number for Katie Jackson is 1649538414. It was assigned to this individual provider in the NPPES registry on April 30, 2012. The provider is also known as Katie Elizabeth Atnip.

Where is Katie Jackson located?

Katie Jackson practices at 6161 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 494-2200.

What is Katie Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katie Jackson enrolled in Medicare?

Yes. Katie Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Katie Jackson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Molina Healthcare list Katie Jackson 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 Katie Jackson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.