Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003111972 Individual Practitioner Female Practitioner

Jessica Lee Luetkemeyer , PA-C

Physician Assistant • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Jessica Luetkemeyer, PA-C is a registered healthcare professional specializing in Physician Assistant in Tulsa, OK. Practice services are available at 1111 S SAINT LOUIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1111 S Saint Louis Ave

Tulsa, OK 741205440

Telephone 9186194400
Fax 9186194696
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate
13.0% 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

CMS Verified: 2022-06-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1960

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200318540A (OK)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003159690

Doctor of Medicine (M.D.)

Dr. Peter Madden , MD

Internal Medicine

NPI 1003203001

Doctor of Medicine (M.D.)

Dr. Thao Tran , DO

Internal Medicine

NPI 1003203662

Doctor of Osteopathic Medicine (D.O.)

Amna Obaid

Student in an Organized Health Care Education/Training Program

NPI 1003504358
Dr. Angela Bolz , DO

Internal Medicine - Nephrology

NPI 1013119650

Doctor of Osteopathic Medicine (D.O.)

Dr. John Carment , MD

Internal Medicine - Geriatric Medicine

NPI 1013129329

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 08, 2022

Registered at 1111 S SAINT LOUIS AVE, TULSA, OK 741205440 (Tel: 9186194400)

📍
Updated Business Mailing Address June 08, 2022

Registered at 4502 E 41ST ST, TULSA, OK 741352536 (Tel: 1861944009)

NPI Profile Active July 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2012

Registered at 1125 N PORTER AVE, SUITE 301, NORMAN, OK 730716446 (Tel: 4053602777)

📍
Updated Business Mailing Address July 16, 2012

Registered at 1125 N PORTER AVE, SUITE 301, NORMAN, OK 730716446 (Tel: 4053602777)

👤
Provider Name / Credentials Updated July 16, 2012

Recorded as JESSICA LUETKEMEYER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2012

Physician Assistant (License #1960 in OK)

🟢
Initial NPI Registration & Enumeration January 24, 2011

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: 1003111972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2011
Last Update: June 08, 2022
Sole Proprietor: No

Mailing Address

4502 E 41st St

Tulsa, OK 741352536

Phone: 1861944009

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.