Active NPI
Alexandria Marie Blaylock, PA
- Physician Assistant
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2940
- Practice address
- 301 S Mustang Rd
Yukon, OK 73099-6704 - Phone
- (405) 324-1911
- NPI assigned
- Jun 11, 2018
- Last updated
- Jun 17, 2026
- 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 | 2940 | OK | Primary |
Addresses
Primary practice location
301 S Mustang Rd
Yukon, OK 73099-6704
Mailing address
7134 S Yale Ave Ste 500
Tulsa, OK 74136-6352
Phone (918) 392-4763
Other practice location 1
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2420
Other practice location 2
7220 S Yale Ave
Tulsa, OK 74136-6348
Phone (918) 392-4763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201
7134 S Yale Ave
Suite 500
Tulsa, OK 74136-6352
Phone (918) 392-4763
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Oca Mustang LP | 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
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- aervin324943@direct.saintfrancis.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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1063968352
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1770076051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7134 S YALE AVE STE 500",
"city": "TULSA",
"state": "OK",
"postal_code": "741366352",
"telephone_number": "918-392-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996704",
"telephone_number": "405-324-1911"
}
],
"practiceLocations": [
{
"address_1": "300 Rockefeller Dr",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744015075",
"country_code": "US",
"telephone_number": "918-684-2420",
"fax_number": "918-502-7573",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7220 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741366348",
"country_code": "US",
"telephone_number": "918-392-4763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAYLOCK",
"first_name": "ALEXANDRIA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 17, 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.