Individual provider Active NPI

Jeanne Elizabeth Heyser-Easterly, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Tulsa, OK
National Provider Identifier
1023122660
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
2417 Issued in OK
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

Updated by the provider on Oct 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 11, 2026 through Jul 11, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000207 OK Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 7012819444 Practice locations: Tulsa, OK

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
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

LicenseStateTypeSpecialty
2417OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.