Corey Duane Jacobs, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

M-15890 Issued in ID

Practice address

1800 W 1St St Ste 101
Elk City, OK 73644-3133

Phone

(580) 225-2516

Fax

(580) 303-5830

NPI assigned

Jul 12, 2006

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ID, OK2 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

Specialty

Obstetrics/Gynecology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farmers Union Hospital AssociationGroup PAC ID 7517949415, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIEEDD

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.

• Farmers Union Hospital Association

  dba Great Plains Regional Medical Center

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Medicare reassignment Care Compare group NPD
• Leavitt Womens Healthcare Corp,P.C.

  • Obstetrics & Gynecology Physician
  • Idaho Falls, ID
  • NPI 1972771756
  Medicare reassignment NPD
• Farmers Union Hospital Association

  dba Great Plains Pat Wall Clinic

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

• Farmers Union Hospital Association

  dba Great Plains Medical Clinic

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1023512308

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  dba Great Plains Pat Wall Clinic

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  dba Great Plains Regional Medical Center

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1598790024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST STE 101",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-2516",
            "fax_number": "580-303-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST STE 101",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-2516",
            "fax_number": "580-303-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "COREY",
        "middle_name": "DUANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M-15890",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "27305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938418",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AL",
            "identifier": "51539428",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20022468",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808198200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7S5816",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymona Hunter
• J Coffey MD PC
• Jack T Morrison, DDS, PC
• Jacob Jackson, APRN, CNP
• Kristie Michelle Jackson
• Summer James
• Jamie L Gore DO PC
• Jayne Rozell Aprn-CNP PLLC
• Jean E Forsberg PLLC
• Jeff Hopkins Anesthesia Services PLLC

• Obstetrics & Gynecology Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.