Organization Active NPI

Mease Medical Corporation

  • Family Nurse Practitioner
  • Jay, OK
National Provider Identifier
1265561385
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71128 Issued in OK
Legal business name
MEASE MEDICAL CORPORATION
Practice address
659 S 14TH Street
Jay, OK 74346
Phone
(918) 253-6418
Fax
(918) 253-4066
NPI assigned
Mar 5, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Darrell R Mease, M.D.NPI 1952377442
Title
Owner
Phone
(918) 253-6418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA151 OK
Family Nurse Practitioner 363LF0000X 71128 OK Primary
Family Medicine Physician 207Q00000X 16931 OK

Addresses

Primary practice location

659 S 14TH Street
Jay, OK 74346

Mailing address

PO Box 780
Jay, OK 74346-0780
Phone (918) 253-6418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070323000416 OK Part B Supplier - Clinic/Group Practice 7719081116 Receives reassigned benefits from 1 practitioner
Practice locations: Jay, OK

National Provider Directory

National Provider Directory
Tax ID family
Mease Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

659 S 14th St
Jay, OK 74346
Phone (918) 253-6418

659 S 14th St
Bldg B
Jay, OK 74346
Phone (918) 253-6418

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265561385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743460780",
            "telephone_number": "918-253-6418",
            "fax_number": "918-253-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 S 14TH STREET",
            "city": "JAY",
            "state": "OK",
            "postal_code": "74346",
            "telephone_number": "918-253-6418",
            "fax_number": "918-253-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEASE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MEASE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-253-6418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "71128",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "16931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.