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: August 09, 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
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

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
35 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

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.

Dentist
1921 STONECIPHER BLVD
ADA, OK 74820
Obstetrics & Gynecology
1921 STONECIPHER BLVD
ADA, OK 74820
Counselor (Mental Health)
1921 STONECIPHER BLVD
ADA, OK 74820
Dietitian, Registered
1921 STONECIPHER BLVD
ADA, OK 74820
Advanced Practice Midwife
1921 STONECIPHER BLVD
ADA, OK 74820
Surgery
1921 STONECIPHER BLVD
ADA, OK 74820
Physical Therapist
1921 STONECIPHER BLVD
ADA, OK 74820
Family Medicine
1921 STONECIPHER BLVD
ADA, OK 74820

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.