Active NPI
Stephen Andrew Jenks, PA
- Physician Assistant
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2076
- Practice address
- 1705 E 19TH St
Suite 302
Tulsa, OK 74104-5405 - Phone
- (918) 748-7585
- Fax
- (918) 748-7539
- NPI assigned
- Jan 20, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2076 | OK | Primary |
Addresses
Primary practice location
1705 E 19TH St
Suite 302
Tulsa, OK 74104-5405
Mailing address
1705 E 19TH St
Suite 302
Tulsa, OK 74104-5405
Phone (918) 748-7585
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 W Boise Cir
Broken Arrow, OK 74012-4900
Phone (918) 994-8000
10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300
111 N Bailey St
Hillcrest Hospital Pryor
Pryor, OK 74361-4201
Phone (918) 825-1600
1120 S Utica Ave
Hillcrest Medical Center
Tulsa, OK 74104-4012
Phone (918) 579-1000
1202 N Muskogee PL
Hillcrest Hospital Claremore
Claremore, OK 74017-3058
Phone (918) 341-2556
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101
8801 S 101St E Ave
Hillcrest Hospital South
Tulsa, OK 74133-5716
Phone (919) 294-4000
Hospital & facility affiliations
- Hillcrest Hospital South
- Hillcrest Hospital Pryor
- Hillcrest Medical Center
- Hillcrest Hospital Claremore
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2076 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients |
Locations
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Interoperability endpoints
- stephen.jenks@133635819438084.direct.elationemr.com
- stephen.jenks@direct.stjohnhealthsystem.com
- sjenks496081@ahs.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1174578249
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Pryor, OK
- NPI 1780125005
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1134490246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 E 19TH ST",
"address_2": "SUITE 302",
"city": "TULSA",
"state": "OK",
"postal_code": "741045405",
"telephone_number": "918-748-7585",
"fax_number": "918-748-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 E 19TH ST",
"address_2": "SUITE 302",
"city": "TULSA",
"state": "OK",
"postal_code": "741045405",
"telephone_number": "918-748-7585",
"fax_number": "918-748-7539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKS",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2076",
"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 Jan 20, 2012; 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.