NPIMap

Individual provider Active NPI

Leslie Ann Jewett, MD

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1619505732
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-16767 Issued in AR
Practice address
4502 E 41St St
Tulsa, OK 74135-2536
Phone
(918) 579-2367
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-16767 AR Primary

Addresses

Primary practice location

4502 E 41St St
Tulsa, OK 74135-2536

Mailing address

4502 E 41St St
Tulsa, OK 74135-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230320002262 TX Practitioner - Emergency Medicine 0345611851 Reassigns benefits to 1 organization
I20230628003141 AR Practitioner - Emergency Medicine 0345611851 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Utah School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shiloh Emergency Group PLLCGroup PAC ID 6901228154, 59 clinicians

Practice addresses (Care Compare)

300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1000

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16767ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Paris CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Paris CurrentSince May 1, 2024 Accepting new patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Jun 2, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 9, 2022 Accepting new patients
Mercy Hospital Waldron CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Waldron CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Ozark CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Ozark CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince May 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Mercy Hospital Waldron CurrentSince Aug 10, 2025 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Nov 21, 2023 Accepting new patients

Locations

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

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

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: ljewett21034@muscogeecreeknation.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1619505732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352536",
            "telephone_number": "918-579-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-16767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.