Individual provider Active NPI

Jaemie Ann Armiger, PA

  • Medical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1174596100
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
842 Issued in OK
Practice address
4103 S Yale Ave Ste C
Tulsa, OK 74135-6002
Phone
(918) 495-4110
NPI assigned
Feb 9, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 842 OK Primary

Addresses

Primary practice location

4103 S Yale Ave Ste C
Tulsa, OK 74135-6002

Mailing address

700 W Juneau St
Broken Arrow, OK 74012-0767
Phone (918) 813-1351

Other identifiers 1

IdentifierTypeStateIssuer
200005890AMedicaidOK

Other names 1

  • Jaemie Ann Waters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040514000334 OK Practitioner - Physician Assistant 9537159389 Reassigns benefits to 5 organizations
I20221108002322 TX Practitioner - Physician Assistant 9537159389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwise LLCGroup PAC ID 8820410970, 33 clinicians

Practice addresses (Care Compare)

1095 N Aspen Ave
Broken Arrow, OK 74012-9641
Phone (918) 727-2790

110 E 41St St
Sand Springs, OK 74063-3851
Phone (918) 727-2790

11495 S State Hwy 51
Coweta, OK 74429-7138
Phone (918) 727-2780

11760 E 86TH St N
Owasso, OK 74055-2533
Phone (918) 998-9960

2550 N 9TH St
Broken Arrow, OK 74012-2897
Phone (918) 727-2850

8105 E 68TH St
Medwise Woodland Hills
Tulsa, OK 74133-2236
Phone (918) 727-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
842OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Dec 1, 2022 Accepting new patients
Prophylaxis Healthcare LLC CurrentSince Feb 1, 2020 Accepting new patients
Medwise LLC CurrentSince Jan 1, 2025 Accepting new patients
Cherokee Nation CurrentSince Dec 1, 2022 Accepting new patients
Creoks Mental Health Seervices CurrentSince Mar 13, 2023 Accepting new patients
Medwise LLC CurrentSince Jan 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 16, 2019 Accepting new patients
Creoks Mental Health Services CurrentSince Mar 13, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 16, 2019 Accepting new patients
Brian Kent MD Inc PC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Okmulgee Emergency PLLC Past Accepting new patients
CBH Inc PastSince Oct 22, 2023 Accepting new patients
Emergency Management Associates PC Past Accepting new patients

Locations (25 of 28)

1407 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 335-2273

505 SE Washington Blvd
#B
Bartlesville, OK 74006
Phone (918) 524-9760

11911 S Memorial Dr
Bixby, OK 74008
Phone (918) 497-3700

14777 S Memorial Dr
Bixby, OK 74008
Phone (918) 727-2820

1095 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 727-2831

2550 N 9th St
Broken Arrow, OK 74012
Phone (918) 727-2850

11495 S State Highway 51
Coweta, OK 74429
Phone (918) 727-2780

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

11760 E 86th St N
Owasso, OK 74055
Phone (918) 272-2829

211 S Mill St
Pryor, OK 74361
Phone (918) 825-3777

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2790

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

303 E Taft Ave
Ste 3
Sapulpa, OK 74066
Phone (918) 224-2222

32 W Taft Ave
Sapulpa, OK 74066
Phone (918) 727-2790

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

4103 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 382-7302

4103 S Yale Ave
Ste C
Tulsa, OK 74135
Phone (918) 465-4110

6336 E Admiral Pl
Tulsa, OK 74115
Phone (918) 727-2830

8105 E 68th St
Tulsa, OK 74133
Phone (918) 727-2810

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: jaemie.armiger.1@21352.direct.athenahealth.com
  • Direct secure messaging: jaemie.armiger@250615391387652.direct.elationemr.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1174596100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W JUNEAU ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120767",
            "telephone_number": "918-813-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S YALE AVE STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356002",
            "telephone_number": "918-495-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMIGER",
        "first_name": "JAEMIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200005890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAEMIE",
            "last_name": "WATERS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.