Individual provider Active NPI

Jeffery L. Jenkins, M.D.

  • Family Medicine Physician
  • Stilwell, OK
National Provider Identifier
1417922709
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20268 Issued in OK
Practice address
1401West Locust
Ste 102
Stilwell, OK 74960-3217
Phone
(918) 696-4065
Fax
(918) 696-5971
NPI assigned
Feb 21, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20268 OK Primary

Addresses

Primary practice location

1401West Locust
Ste 102
Stilwell, OK 74960-3217

Mailing address

1401West Locust
Ste 102
Stilwell, OK 74960-3217
Phone (918) 696-4065

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100416000171 OK Practitioner - Family PracticePractitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Emergency Medicine 0042347460 Reassigns benefits to 1 organization
I20260108002957 TX Practitioner - Psychiatry 0042347460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Geriatric Psychiatry, Psychiatry
Education
University of Oklahoma College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adair County Health Center IncGroup PAC ID 9638065907, 8 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Practice addresses (Care Compare)

1401 W Locust St
Suite 102
Stillwell, OK 74960-3276
Phone (918) 696-4065

RR 5 Box
Suite 840
Stilwell, OK 74960-9222
Phone (918) 696-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Dec 3, 2025 Accepting new patients
Cherokee Nation CurrentSince Dec 3, 2025 Accepting new patients
Adair County Health Center,Inc. Family Medicine Current Accepting new patients
Cherokee Nation Current Accepting new patients
Adair County Health Center, Inc. CurrentSince Jul 1, 1998 Accepting new patients
Cherokee Nation Current Accepting new patients
Adair County Health Center, Inc. CurrentSince Jul 1, 1998 Accepting new patients
Northeastern Health System Past Accepting new patients
Adair County Health Center, Inc Past Accepting new patients
SNH Opco, LLC Past Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority Past Accepting new patients

Locations

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

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

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

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

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
  • Direct secure messaging: jeffery.jenkins@smh.send-direct.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1417922709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401WEST LOCUST",
            "address_2": "STE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401WEST LOCUST",
            "address_2": "STE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603217",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JEFFERY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stilwell, OK

Sources for this page

Verify at the official NPI Registry.