Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366951493 Individual Practitioner Male Practitioner

Jacob Ray Paul

Peer Specialist • Pryor, OK

Professional Overview & Biography Verified Profile Summary

Jacob Paul is a registered healthcare professional specializing in Peer Specialist in Pryor, OK. Practice services are available at 231 E GRAHAM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

231 E Graham Ave

Pryor, OK 743612436

Telephone 9187828110
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Pryor, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
138 Specialists

Practicing in Pryor, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tracy Pruitt

Case Manager/Care Coordinator

NPI 1023520079
Micki Erwin

Licensed Practical Nurse

NPI 1053277756
Teddy Pennypacker , RN

Registered Nurse - Case Management

NPI 1073020897

Registered Nurse

Hilary Admire

Case Manager/Care Coordinator

NPI 1073026654
Jacqueline Flynn

Counselor - Mental Health

NPI 1073058392
Jo Anne Henderson , BA

Case Manager/Care Coordinator

NPI 1073799599

Bachelor of Arts

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2017

Registered at 231 E GRAHAM AVE, PRYOR, OK 743612436 (Tel: 9187828110)

📍
Updated Business Mailing Address October 10, 2017

Registered at 231 E GRAHAM AVE, PRYOR, OK 743612436 (Tel: 9187828110)

👤
Provider Name / Credentials Updated October 10, 2017

Recorded as JACOB PAUL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Peer Specialist

NPI Profile Active September 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2017

Registered at 39001 S 500 RD, EUCHA, OK 743423295 (Tel: (918) 782-8110)

📍
Updated Business Mailing Address September 20, 2017

Registered at 39001 S 500 RD, EUCHA, OK 743423295 (Tel: 9187828110)

👤
Provider Name / Credentials Updated September 20, 2017

Recorded as JACOB PAUL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2017

Peer Specialist

🟢
Initial NPI Registration & Enumeration September 20, 2017

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: 1366951493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2017
Last Update: October 10, 2017
Sole Proprietor: No

Mailing Address

231 E Graham Ave

Pryor, OK 743612436

Phone: 9187828110

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.