Individual provider Active NPI

Lesley Jeanine Smith, P.A.

  • Physician Assistant
  • Yukon, OK
National Provider Identifier
1740248582
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
825 Issued in OK
Practice address
709 N Czech Hall Rd
Yukon, OK 73099-7897
Phone
(405) 494-8600
Fax
(405) 494-8567
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 825 OK Primary

Addresses

Primary practice location

709 N Czech Hall Rd
Yukon, OK 73099-7897

Mailing address

709 N Czech Hall Rd
Yukon, OK 73099-7897
Phone (405) 494-8600

Other practice location 1

6475 S Yale Ave Ste 406
Tulsa, OK 74136
Phone (918) 502-9140

Other practice location 2

2488 E 81st St Ste 290
Tulsa, OK 74137-4265
Phone (918) 494-2665

Other identifiers 2

IdentifierTypeStateIssuer
100108200AMedicaidOK
970018308OtherOKRR MEDICARE

Other names 1

  • Lesley Jeanine Brewer Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040123000658 OK Practitioner - Physician Assistant 6800798406 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tulsa Hospital Medicine Physicians Group, LLCGroup PAC ID 7214327832, 132 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1027 E Cherry St
Cushing, OK 74023-4101
Phone (918) 225-2915

10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300

1120 S Utica Ave
Hillcrest Medical Center
Tulsa, OK 74104-4012
Phone (918) 579-1000

8801 S 101St E Ave
Hillcrest Hospital South
Tulsa, OK 74133-5716
Phone (919) 294-4000

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
825OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients
St. John Physicians, Inc. CurrentSince Oct 25, 2010 Accepting new patients
St. John Physicians, Inc CurrentSince Oct 25, 2010 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Dec 9, 2022 Accepting new patients
Oklahoma Infectious Disease Specialists, LLC CurrentSince Nov 1, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients

Locations

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

709 N Czech Hall Rd
Yukon, OK 73099
Phone (405) 271-6911

Interoperability endpoints

  • Direct secure messaging: lsmith556310@ahs.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1740248582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N CZECH HALL RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997897",
            "telephone_number": "405-494-8600",
            "fax_number": "405-494-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N CZECH HALL RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997897",
            "telephone_number": "405-494-8600",
            "fax_number": "405-494-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6475 S Yale Ave Ste 406",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74136",
            "country_code": "US",
            "telephone_number": "918-502-9140",
            "fax_number": "918-502-9145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2488 E 81st St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374265",
            "country_code": "US",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESLEY",
        "middle_name": "JEANINE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108200A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970018308",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "BREWER",
            "middle_name": "JEANINE",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.