Active NPI
Jeanne Elizabeth Heyser-Easterly, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Tulsa, OK
National Provider Identifier
1023122660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 2417
- Practice address
- 800 S Jackson Ave
Tulsa, OK 74127-9003 - Phone
- (918) 749-4668
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 2417 | OK | Primary |
Addresses
Primary practice location
800 S Jackson Ave
Tulsa, OK 74127-9003
Mailing address
PO Box 21228
Tulsa, OK 74121-1228
Phone (918) 299-8232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 11, 2026 through Jul 11, 2028
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040128000207 | OK | Practitioner - Osteopathic Manipulative Medicine | 7012819444 | Practice locations: Tulsa, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2128 S Atlanta PL
Suite 203
Tulsa, OK 74114-1755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2417 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma State University | Neuromusculoskeletal Medicine & Omm | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba OSU Physicians
- Medical Specialty Clinic/Center
- Tulsa, OK
- NPI 1306882261
Neuromusculoskeletal Medicine & Omm
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1023122660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21228",
"city": "TULSA",
"state": "OK",
"postal_code": "741211228",
"telephone_number": "918-299-8232",
"fax_number": "918-299-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S JACKSON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741279003",
"telephone_number": "918-749-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYSER-EASTERLY",
"first_name": "JEANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "OK",
"license": "2417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.