JENTRY MCBROOM PA
NPI 1801778337
Physician Assistant in Idabel, OK

Q: What is Jentry Mcbroom's NPI number?

The NPI number for Jentry Mcbroom is 1801778337. It was assigned to this individual provider in the NPPES registry on July 24, 2025. The provider is also known as Jentry Brown.

Q: What is Jentry Mcbroom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jentry Mcbroom was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 24, 2025PECOS EnrolledAccepts Medicare Assignment

902 E LINCOLN RD, IDABEL, OK 74745(580) 286-2600 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jentry Mcbroom Pa NPPES

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

JENTRY MCBROOM PA (NPI 1801778337) is an individual physician assistant in Idabel, Oklahoma, licensed in Oklahoma (5486) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801778337

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENTRY MCBROOMCredential: PA

Location Address902 E LINCOLN RDIdabel, OK 74745-7337

Mailing Address902 E Lincoln RdIdabel, OK 74745-7337 · (580) 286-2600

Phone(580) 286-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1801778337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5486

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

902 E LINCOLN RD, Idabel, OK 74745

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Other Names 1

Former Name (1)Jentry Brown

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

Jentry Mcbroom Pa 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 ID3173028917

PECOS Enrollment IDI20250924000354

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.

Hospital Affiliations CMS Care Compare

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

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK

OwnershipTribal

CMS Certification Number370172

Location1 Choctaw WayTalihina, OK 74571 · Latimer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74745 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

$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.

JOSEPH A KENNEDY OTHER

Physical Therapist