Active NPI
Lesley Jeanine Smith, P.A.
- Physician Assistant
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 825
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100108200A | Medicaid | OK | |
| 970018308 | Other | OK | RR MEDICARE |
Other names 1
- Lesley Jeanine Brewer
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 825 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc. | Current | Accepting new patients | |
| Oklahoma Infectious Disease Specialists, LLC | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1497417067
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Primary Care Clinic/Center
- Coweta, OK
- NPI 1316183536
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
-
- Emergency Medicine Physician
- Tishomingo, OK
- NPI 1972809002
-
- Medicare Defined Swing Bed Hospital Unit
- Tishomingo, OK
- NPI 1578868121
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.