DR. LETITIA JACKSON MD
NPI 1790304681
Hospitalist in Tulsa, OK
About Dr. Letitia Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LETITIA JACKSON MD (NPI 1790304681) is an individual hospitalist provider in Tulsa, Oklahoma, licensed in Oklahoma (40707) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Dr. Letitia Jackson Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Letitia Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 1,144 clinicians in this Medicare group
Ponca City, OK 74601
- Reassigned Medicare billing, Oklahoma enrollment
- 130 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Hospital Muskogee
Acute Care Hospitals · Muskogee, OKMcalester Regional Health Center
Acute Care Hospitals · Mcalester, OKSaint Francis Hospital, Inc
Acute Care Hospitals · Tulsa, OKSaint Francis Hospital South, LLC
Acute Care Hospitals · Tulsa, OKPhysician 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TULSA, OK 74136
TULSA, OK 74136
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 Letitia Jackson's NPI number?
The NPI number for Letitia Jackson is 1790304681. It was assigned to this individual provider in the NPPES registry on April 10, 2020.
Where is Letitia Jackson located?
Letitia Jackson practices at 6161 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 502-1900.
What is Letitia Jackson's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Letitia Jackson enrolled in Medicare?
Yes. Letitia Jackson 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 organizations bill Medicare for Letitia Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Letitia Jackson reassigns Medicare benefits to 2 organizations: Warren Clinic Inc (Tulsa, OK) and Nes Oklahoma, Inc. (Ponca City, OK). Each 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 Letitia Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Letitia Jackson accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Letitia 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.
Is Letitia Jackson affiliated with any hospitals?
According to CMS data, Letitia Jackson is affiliated with Saint Francis Hospital Muskogee, Mcalester Regional Health Center, Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.
When was this NPI record last updated?
The NPPES record for Letitia Jackson was last updated on July 3, 2023. 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.
# Dr. Letitia Jackson, MD · NPI 1790304681
Hospitalist physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 10, 2020.
## Identity
- **NPI:** 1790304681 (Entity type: Individual)
- **Enumerated:** April 10, 2020
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 40707 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 6161 S YALE AVE, Tulsa, OK 74136-1992
- **Phone:** (918) 502-1900 · **Fax:** (918) 494-6303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Warren Clinic Inc (NPI 1174582282, Tulsa, OK); Nes Oklahoma, Inc. (NPI 1528040722, Ponca City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790304681) · Data from the CMS NPPES public registry.