Charles Ray Jennings, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1549 Issued in OK

Practice address

206 E Blue Starr Dr
Claremore, OK 74017-4223

Phone

(918) 341-8100

Fax

(918) 341-8139

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Generations Family Medical Clinic LLCGroup PAC ID 9032218029, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.ray.jennings.1@11499.direct.athenahealth.com
• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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.

• Generations Family Medical Clinic, LLC

  • Health Service Clinic/Center
  • Claremore, OK
  • NPI 1720148851
  Medicare reassignment Care Compare group
• Ahs Oklahoma Physician Group LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775

  Physician Assistant

  NPD (past)
• Robert L Sweeten MD Inc

  • Internal Medicine Physician
  • Neosho, MO
  • NPI 1407052616
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Claremore Regional Hospital, LLC.

  • General Acute Care Hospital
  • Claremore, OK
  • NPI 1023398807
  Care Compare affiliation

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1255496154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740161833",
            "telephone_number": "918-341-8100",
            "fax_number": "918-341-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174223",
            "telephone_number": "918-341-8100",
            "fax_number": "918-341-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CHARLES",
        "middle_name": "RAY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200113160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Jano
• Pamela Ann Jarrett, DO
• Cory Jeans, REVEREND
• Jeffrey K McIlroy MD Inc
• Donald Jackson Jenkins, RN
• Megan Jennings
• Merrit Corwin Jensen, CRNA
• Quanah Gay Jensen, MS, CCC-SLP
• Rachel Elizabeth Jewell
• John B Henry DDS Inc

• Physician Assistant in Claremore, OK
• Providers in Claremore, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.

Verify at the official NPI Registry.