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CARTER JACOB STEWART DO
NPI 1659098473
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since October 24, 2022PECOS Enrolled
1111 W 17TH ST, TULSA, OK 74107(580) 829-2049 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carter Jacob Stewart Do NPPES

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

CARTER JACOB STEWART DO (NPI 1659098473) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Lawton Indian Hospital, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1659098473
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARTER JACOB STEWARTCredential: DO
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1111 W 17th StTulsa, OK 74107-1886 · (580) 829-2049
Phone(580) 829-2049
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2024
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 22, 2022
✔ NPI 1659098473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carter Jacob Stewart Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789173998
PECOS Enrollment IDI20251029000030
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.

Medicare Billing Reassignment

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

Lawton Indian Hospital
170 mi
General Acute Care Hospital
1515 NE LAWRIE TATUM RD
Lawton, OK 73507
  • Reassigned Medicare billing, Texas enrollment
  • 347 clinicians in this Medicare group
NPI 1760489223 (580) 354-5150

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.

Lawton Indian Hospital

Acute Care Hospitals · Lawton, OK
OwnershipGovernment - Federal
CMS Certification Number370170
Location1515 Lawrie Tatum RoadLawton, OK 73507 · Comanche County
Emergency services

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.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Carter Stewart's NPI number?

The NPI number for Carter Stewart is 1659098473. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Carter Stewart located?

Carter Stewart practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (580) 829-2049.

What is Carter Stewart's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carter Stewart enrolled in Medicare?

Yes. Carter Stewart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carter Stewart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carter Stewart reassigns Medicare benefits to Lawton Indian Hospital (Lawton, 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 Carter Stewart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carter Stewart affiliated with any hospitals?

According to CMS data, Carter Stewart is affiliated with Lawton Indian Hospital.

When was this NPI record last updated?

The NPPES record for Carter Stewart was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.