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Active NPI 1487925715 Individual Practitioner Female Practitioner

Michelle L Jennings , PA-C

Physician Assistant • Durant, OK

Professional Overview & Biography Verified Profile Summary

Michelle Jennings, PA-C is a registered healthcare professional specializing in Physician Assistant in Durant, OK. Practice services are available at 1400 BRYAN DR under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, urinalysis, manual test, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 Bryan Dr
Suite 303

Durant, OK 747012156

Telephone 5809312227
Fax 5809312057
Associated Practice Facility / Clinic
🏢 Surgery Center At Durant Llc Facility NPI 1275580813

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Durant, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Durant, OK (1911 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus
32 14 $39.00 $16.22
81002 Urinalysis, manual test
30 27 $8.00 $3.41
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
17 15 $70.00 $38.16

Medical Specialties & State Licenses

CMS Verified: 2025-09-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA07522

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OK 2281

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License OK 2281

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Madison Bolin , DO

Family Medicine

NPI 1013750215

Doctor of Osteopathic Medicine (D.O.)

Johnette Routh , ARNP

Nurse Practitioner

NPI 1215139415

Advanced Registered Nurse Practitioner

Dr. Dyani Shores , DO

Family Medicine

NPI 1235972266

Doctor of Osteopathic Medicine (D.O.)

Cameron O'brien

Family Medicine

NPI 1245074491
Dr. Jeffrey Neilson , MD

Orthopaedic Surgery

NPI 1265431522

Doctor of Medicine (M.D.)

Dr. Imran Plumb , MD

Internal Medicine

NPI 1275827305

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Physician Assistant (License #2281 in OK)

👤
Provider Name / Credentials Updated September 01, 2025

Recorded as MICHELLE JENNINGS, PA-C

NPI Profile Active July 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2013

Registered at 1400 BRYAN DR, SUITE 303, DURANT, OK 747012156 (Tel: 5809312227)

📍
Updated Business Mailing Address July 24, 2013

Registered at HC 71 BOX 157-1, SOPER, OK 747599764 (Tel: 2108853875)

👤
Provider Name / Credentials Updated July 24, 2013

Recorded as MICHELLE VAN FOSSEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2013

Physician Assistant (License #2281 in OK)

🟢
Initial NPI Registration & Enumeration January 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487925715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2012
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

Hc 71 Box 157-1

Soper, OK 747599764

Phone: 2108853875

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.