Jalyssa Ericka Valencia

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2109 S Highway 69
Wagoner, OK 74467-9310

Phone

(918) 485-6069

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Caldwell Medical Group, PLLCGroup PAC ID 2860441300, 2 clinicians

Total Health and Wellness LLCGroup PAC ID 1850741299, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
• Wagoner Community Hospital Hospital, Wagoner, OK, CCN 370166
• Sequoyah County-City of Sallisaw Hospital Authorit Hospital, Sallisaw, OK, CCN 370112

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: totalhealthandwellness.jalyssavalencia@157118.advancedmd-direct.com
• Direct secure messaging: jalyssa.valencia.1@14254.direct.athenahealth.com

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.

• Caldwell Medical Group, PLLC

  • Internal Medicine Physician
  • Wagoner, OK
  • NPI 1760700371
  Medicare reassignment Care Compare group
• Total Health & Wellness, LLC

  • Family Medicine Physician
  • Wagoner, OK
  • NPI 1487433678
  Medicare reassignment Care Compare group
• Sequoyah County City of Sallisaw Hospital Authority

  • Rural Acute Care Hospital
  • Sallisaw, OK
  • NPI 1972539567
  NPD (past)

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

• Mercy Hospital Ada, Inc

  • Ambulance
  • Ada, OK
  • NPI 1831533728

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306
  Care Compare affiliation
• Sequoyah County City of Sallisaw Hospital Authority

  • Rural Acute Care Hospital
  • Sallisaw, OK
  • NPI 1972539567
  Care Compare affiliation
• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Care Compare affiliation
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1851068407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S HIGHWAY 69",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744679310",
            "telephone_number": "918-485-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S HIGHWAY 69",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744679310",
            "telephone_number": "918-485-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "JALYSSA",
        "middle_name": "ERICKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transformation Therapeutic Counseling Services, LLC
• Tri State Toxicology
• Alisha Trickey
• Hailey Michelle Turman
• Urgent Care of Muskogee PLLC
• Jeremy Vanbrunt
• Amber Rose Vandusen
• Isaura Vermillion
• Victoria Vo
• Barbara J Volz

• Medical Physician Assistant in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.