Active NPI
Jodi Lee Wiley, DO
- Family Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7654
- Practice address
- 6717 S Yale Ave Ste 210
Tulsa, OK 74136-3328 - Phone
- (918) 675-0068
- Fax
- (918) 675-5345
- NPI assigned
- Apr 30, 2021
- Last updated
- Feb 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7654 | OK | Primary |
| Pain Medicine Physician | 208VP0000X | 7654 | OK |
Addresses
Primary practice location
6717 S Yale Ave Ste 210
Tulsa, OK 74136-3328
Mailing address
PO Box 38602
Belfast, ME 04915-1228
Phone (918) 675-0068
Other practice location 1
2345 Southwest Blvd Osu Health Care Center
Tulsa, OK 74107
Phone (918) 582-1980
Other practice location 2
2028 Mahaney Ave
Tahlequah, OK 74464-5783
Phone (918) 992-6050
Other practice location 3
1129 S Aspen Ave
Broken Arrow, OK 74012-4859
Phone (539) 637-1253
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1118 W Broadway St
Muskogee, OK 74401-6246
Phone (918) 912-7040
209 S 36TH St
Suite a
Muskogee, OK 74401-5043
Phone (918) 681-7554
6717 S Yale Ave
Suite 210
Tulsa, OK 74136-3328
Phone (918) 675-0068
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7654 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Domed Enterprises PLLC | Pain Medicine | Current | Accepting new patients |
| Provectus Diagnostics LLC | Current | Accepting new patients | |
| Precision Pain Management LLC | Current | Accepting new patients |
Locations
8901 S Santa Fe Ave
Ste E
Oklahoma City, OK 73139
Phone (405) 605-5757
4110 S 100th East Ave
Ste 201
Tulsa, OK 74146
Phone (918) 857-7246
6717 S Yale Ave
Ste 210
Tulsa, OK 74136
Phone (918) 675-0068
Interoperability endpoints
- jodi.wiley.1@31524.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Oklahoma Pain Associates
- Pain Medicine Physician
- Tulsa, OK
- NPI 1033958673
-
- Family Medicine Physician
- Muskogee, OK
- NPI 1629766407
-
- Family Medicine Physician
- Muskogee, OK
- NPI 1518641836
-
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
- NPI 1841692274
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1104213156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1851974653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38602",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151228",
"telephone_number": "918-675-0068",
"fax_number": "918-675-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6717 S YALE AVE STE 210",
"city": "TULSA",
"state": "OK",
"postal_code": "741363328",
"telephone_number": "918-675-0068",
"fax_number": "918-675-5345"
}
],
"practiceLocations": [
{
"address_1": "2345 SOUTHWEST BLVD OSU HEALTH CARE CENTER",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74107",
"country_code": "US",
"telephone_number": "918-582-1980",
"fax_number": "918-561-1289",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2028 Mahaney Ave",
"address_purpose": "LOCATION",
"city": "Tahlequah",
"state": "OK",
"postal_code": "744645783",
"country_code": "US",
"telephone_number": "918-992-6050",
"fax_number": "833-763-2349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1129 S Aspen Ave",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740124859",
"country_code": "US",
"telephone_number": "539-637-1253",
"fax_number": "539-367-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILEY",
"first_name": "JODI",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "7654",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OK",
"license": "7654",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.