Active NPI
Breanna Jacobitz, DO
- Emergency Medicine Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9166
- Practice address
- 3300 Healthplex Pkwy
Norman, OK 73072-9749 - Phone
- (405) 307-1000
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9166 | OK | Primary |
Addresses
Primary practice location
3300 Healthplex Pkwy
Norman, OK 73072-9749
Mailing address
PO Box 1308
Norman, OK 73070-1308
Phone (405) 307-1090
Other practice location 1
1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524
Other practice location 2
3701 E Main St
Weatherford, OK 73096-3309
Phone (580) 772-5551
Other practice location 3
2401 W Wrangler Blvd
Seminole, OK 74868-1917
Phone (432) 758-5811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250807002919 | OK | Practitioner - Emergency Medicine | 0941708176 | Reassigns benefits to 3 organizations |
| I20251010000135 | TX | Practitioner - Emergency Medicine | 0941708176 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physicians of Mid-America PCCreek Nation Hospital and Clinics
Practice addresses (Care Compare)
1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524
1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424
Hospital & facility affiliations
- Creek Nation Community Hospital
- Purcell Municipal Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9166 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Norman Regional Hospital Authority | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Norman Regional Hospital Authority | Emergency Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients |
Locations
700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250
2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
Dept 1467
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
Interoperability endpoints
- bjacobitz556862@direct-ehr-ssmhc.com
Organizations & group practices 21
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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1912563727
Emergency Medicine, OK
-
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
- Pharmacy
- Okemah, OK
- NPI 1033229992
-
- Ambulatory Surgical Clinic/Center
- Okemah, OK
- NPI 1104516871
-
- Pharmacy
- Okmulgee, OK
- NPI 1154430031
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tulsa, OK
- NPI 1265004667
-
- Medicare Defined Swing Bed Hospital Unit
- Okmulgee, OK
- NPI 1376972471
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Wetumka, OK
- NPI 1407116668
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sapulpa, OK
- NPI 1457460321
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1083339956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1308",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701308",
"telephone_number": "405-307-1090",
"fax_number": "405-307-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HEALTHPLEX PKWY",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729749",
"telephone_number": "405-307-1000"
}
],
"practiceLocations": [
{
"address_1": "1500 N Green Ave",
"address_purpose": "LOCATION",
"city": "Purcell",
"state": "OK",
"postal_code": "730801642",
"country_code": "US",
"telephone_number": "405-527-6524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3701 E Main St",
"address_purpose": "LOCATION",
"city": "Weatherford",
"state": "OK",
"postal_code": "730963309",
"country_code": "US",
"telephone_number": "580-772-5551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W Wrangler Blvd",
"address_purpose": "LOCATION",
"city": "Seminole",
"state": "OK",
"postal_code": "748681917",
"country_code": "US",
"telephone_number": "432-758-5811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBITZ",
"first_name": "BREANNA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "9166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.
- 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.