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MR. JARED SAMUEL YEAHQUO PA-C
NPI 1972364172
Physician Assistant - Medical in Ada, OK

Active since January 16, 2024PECOS Enrolled
1921 STONECIPHER BLVD, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jared Samuel Yeahquo Pa-c NPPES

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

MR. JARED SAMUEL YEAHQUO PA-C (NPI 1972364172) is an individual medical provider in Ada, Oklahoma and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972364172
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JARED SAMUEL YEAHQUOCredential: PA-C
Location Address1921 STONECIPHER BLVDAda, OK 74820-3439
Mailing Address1921 Stonecipher BlvdAda, OK 74820-3439 · (580) 436-3980
Phone(580) 436-3980
Sole ProprietorNo
Enumeration DateJanuary 16, 2024
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1972364172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1921 STONECIPHER BLVD, Ada, OK 74820
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jared Samuel Yeahquo Pa-c 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.

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.

JERRY S MORGAN M D L L C
Internal Medicine
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
DR. KARINA JANDZISZAK D.O.
Pediatrics
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
CHARLES WHITING MD
Obstetrics & Gynecology
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 421-6200
DR. ANTONIO CHUA LEE MD
Internal Medicine
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
MICHAEL MARVIN M.D.
Obstetrics & Gynecology
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
CHRISTIE SNOW M.D.
Psychiatry & Neurology (Psychiatry)
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 421-4591
CHICKASAW NATION DIVISION OF HEALTH
Clinic/Center
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 421-4570
CHICKASAW NATION MEDICAL CENTER BEH. HEALTH
General Acute Care Hospital
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 421-4591

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 Jared Yeahquo's NPI number?

The NPI number for Jared Yeahquo is 1972364172. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Jared Yeahquo located?

Jared Yeahquo practices at 1921 Stonecipher Blvd, Ada, OK 74820. The listed phone number is (580) 436-3980.

What is Jared Yeahquo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jared Yeahquo enrolled in Medicare?

Yes. Jared Yeahquo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Yeahquo was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.