Letitia Lynn Jackson, APRN-CNP - Medicare Nurse Practitioner in Pauls Valley, OK

Letitia Lynn Jackson, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Pauls Valley, Oklahoma. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 2000 W Grant Ave Ste 2, Pauls Valley, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 238-3900.

Letitia Lynn Jackson is licensed to practice in Oklahoma (license number 67505) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063812634.

Contact Information

Letitia Lynn Jackson, APRN-CNP
2000 W Grant Ave Ste 2,
Pauls Valley, OK 73075-9234
(405) 238-3900
(405) 238-3903

Map and Direction




Provider's Profile

Full NameLetitia Lynn Jackson
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2000 W Grant Ave Ste 2, Pauls Valley, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Letitia Lynn Jackson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1063812634
  • Provider Enumeration Date: 09/02/2014
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648216275
  • Enrollment ID: I20141031001911

Medical Identifiers

Medical identifiers for Letitia Lynn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063812634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 67505 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Letitia Lynn Jackson allows following entities to bill medicare on her behalf.
Entity NameUrgent Care Of Pauls Valley Aprn-cnp Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477097699
PECOS PAC ID: 7719269646
Enrollment ID: O20170128000077

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Letitia Lynn Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Letitia Lynn Jackson, APRN-CNP
2000 W Grant Ave Ste 2,
Pauls Valley, OK 73075-9234

Ph: (405) 238-3900
Letitia Lynn Jackson, APRN-CNP
2000 W Grant Ave Ste 2,
Pauls Valley, OK 73075-9234

Ph: (405) 238-3900

Reviews and Comments


Nurse Practitioner Nurses in Pauls Valley, OK

Ms. Shelly Rae Russeff, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075
Phone: 405-207-9800    Fax: 405-207-9898
Micki Richardson, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075
Phone: 405-207-9800    
Michelle Martin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 Burr Ave, Pauls Valley, OK 73075
Phone: 405-238-4633    
Mary Melinda Dennis, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075
Phone: 405-207-9800    Fax: 405-207-9898
Brett Avery Baldwin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 W Guy Ave, Pauls Valley, OK 73075
Phone: 405-397-0035    Fax: 405-238-9342
Marcus Shane Wahl, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Melville Dr, Pauls Valley, OK 73075
Phone: 405-224-8111    Fax: 405-825-4530

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.