Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063903029 Individual Practitioner Female Practitioner

Jackie Ellen Chuculate

Peer Specialist • Vinita, OK

Professional Overview & Biography Verified Profile Summary

Jackie Chuculate is a registered healthcare professional specializing in Peer Specialist in Vinita, OK. Practice services are available at 405 E EXCELSIOR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 E Excelsior Ave

Vinita, OK 743014226

Telephone 9182566474
Fax 9182563628
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Vinita, OK

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

Practicing in Vinita, 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
Anissa Mayhew

Case Manager/Care Coordinator

NPI 1003390907
Chrsitina Hart

Peer Specialist

NPI 1013454727
Chrystal Brassfield , MS

Counselor - Mental Health

NPI 1043592132

Master of Science

Sheila Cramer

Peer Specialist

NPI 1043677800
Brandon Setzler

Peer Specialist

NPI 1053090977
Jill Galloway

Peer Specialist

NPI 1053165720

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2018

Registered at 405 E EXCELSIOR AVE, VINITA, OK 743014226 (Tel: 9182566474)

📍
Updated Business Mailing Address May 25, 2018

Registered at 405 E EXCELSIOR AVE, VINITA, OK 743014226 (Tel: 9182566474)

👤
Provider Name / Credentials Updated May 25, 2018

Recorded as JACKIE CHUCULATE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jackie Chuculate. Be the first to share your experience!

Sign in to leave a review for Jackie Chuculate

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063903029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2018
Last Update: June 16, 2018
Sole Proprietor: No

Mailing Address

405 E Excelsior Ave

Vinita, OK 743014226

Phone: 9182566474

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.