DR. SAMUEL SPENCER JELLISON DO
NPI 1891371373
Student in an Organized Health Care Education/Training Program in Tulsa, OK
About Dr. Samuel Spencer Jellison Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL SPENCER JELLISON DO (NPI 1891371373) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 3
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. Samuel Spencer Jellison Do 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
10Medicare enrollment records show Samuel Jellison reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74127
- Reassigned Medicare billing, South Carolina enrollment
- 4 clinicians in this Medicare group
Muskogee, OK 74401
- Reassigned Medicare billing, Texas enrollment
- 655 clinicians in this Medicare group
Pawnee, OK 74058
- Reassigned Medicare billing, Texas enrollment
- 143 clinicians in this Medicare group
Wewoka, OK 74884
- Reassigned Medicare billing, Texas enrollment
- 129 clinicians in this Medicare group
Stigler, OK 74462
- Reassigned Medicare billing, Texas enrollment
- 581 clinicians in this Medicare group
El Reno, OK 73036
- Reassigned Medicare billing, Texas enrollment
- 153 clinicians in this Medicare group
Watonga, OK 73772
- Reassigned Medicare billing, Texas enrollment
- 96 clinicians in this Medicare group
Anadarko, OK 73005
- Reassigned Medicare billing, Texas enrollment
- 177 clinicians in this Medicare group
Lawton, OK 73507
- Reassigned Medicare billing, Texas enrollment
- 347 clinicians in this Medicare group
Clinton, OK 73601
- Reassigned Medicare billing, Texas enrollment
- 156 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Alliancehealth Durant
Acute Care Hospitals · Durant, OKSaint Francis Hospital Muskogee
Acute Care Hospitals · Muskogee, OKNortheastern Health System
Acute Care Hospitals · Tahlequah, OKOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74127
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 Samuel Jellison's NPI number?
The NPI number for Samuel Jellison is 1891371373. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Samuel Jellison located?
Samuel Jellison practices at 717 S Houston Ave Fl 3, Tulsa, OK 74127. The listed phone number is (918) 382-3535.
What is Samuel Jellison's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samuel Jellison enrolled in Medicare?
Yes. Samuel Jellison 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 Samuel Jellison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Jellison reassigns Medicare benefits to 10 organizations: Diagnostic Imaging Associates Inc (Tulsa, OK), Creek Nation Hospital & Clinics (Muskogee, OK), Pawnee Indian Health Center (Pawnee, OK), Wewoka Indian Health (Wewoka, OK), Choctaw Nation Of Oklahoma (Stigler, OK) and 5 more organizations, listed in the Medicare section above. 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 Samuel Jellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Jellison accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Wellmark of South Dakota, Inc. list Samuel Jellison 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 Samuel Jellison affiliated with any hospitals?
According to CMS data, Samuel Jellison is affiliated with Alliancehealth Durant, Saint Francis Hospital Muskogee and Northeastern Health System.
When was this NPI record last updated?
The NPPES record for Samuel Jellison was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Samuel Spencer Jellison, DO · NPI 1891371373
Student in an Organized Health Care Education/Training Program provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1891371373 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 717 S HOUSTON AVE FL 3, Tulsa, OK 74127-9023
- **Phone:** (918) 382-3535 · **Fax:** (918) 382-3559
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Diagnostic Imaging Associates Inc (NPI 1427049956, Tulsa, OK); Creek Nation Hospital & Clinics (NPI 1922873611, Muskogee, OK); Pawnee Indian Health Center (NPI 1629174081, Pawnee, OK); Wewoka Indian Health (NPI 1689664195, Wewoka, OK); Choctaw Nation Of Oklahoma (NPI 1184690026, Stigler, OK); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** May 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1891371373) · Data from the CMS NPPES public registry.