MRS. JAZMIN MATLOCK BAKER (D.O.) – Obstetrics Physician, NPI 1124312004

MRS. JAZMIN MATLOCK BAKER (D.O.) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 3150 (OK). The NPI Number for MRS. JAZMIN MATLOCK BAKER (D.O.) is 1124312004

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JAZMIN MATLOCK BAKER (D.O.)
NPI
1124312004
Phone
(918) 605-0247
Address
2507 CAMBRIDGE CIR
Enumeration Date
8 June 2011
Last Update Date
9 December 2022

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4057448939
Graduation Year
2011 (15 years ago)
PAC ID
9537476601
Group Practice PAC ID
2769739358
Professional Enrollment ID
I20221216000875
Address ID
OK740780001ST042XXMURR201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

480 OBSTETRICS/GYNECOLOGY in OK

Provider Addresses for MRS. JAZMIN MATLOCK BAKER (D.O.)

  • 2507 CAMBRIDGE CIR

    TAHLEQUAH, OK 744644689

    Phone: (918) 605-0247

    Type: Mailing

  • 100 S BLISS AVE

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-7105

    Type: Location

  • 717 S HOUSTON AVE STE 200

    TULSA, OK 741279005

    Phone: (918) 294-3430

    Fax: (918) 294-3910

    Type: Location

  • 6126 E 61st St

    Tulsa, OK 741360000

    Phone: (918) 294-3430

    Fax: (918) 294-3910

    Type: Location

  • 5310 E 31ST ST FL 13

    TULSA, OK 741355018

    Phone: (918) 561-5701

    Fax: (918) 561-1173

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $701.

Total Amount is formed as General ($701) + Research ($0) + Ownership ($0) = $701.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Minerva Surgical, Inc ($322).

Total Amount

$701

General + Research + Ownership

Payments

23

Total payment records

General Amount

$701

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221216000875IObstetrics/GynecologyOKTBD
I20250730001886IObstetrics/GynecologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74464)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769739358View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Neurology, PsychiatryOK
-OK
Emergency MedicineOK
Emergency MedicineOK
Family PracticeOK
Internal MedicineOK
Clinical PsychologistCO
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeOK

Reviews

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Frequently asked questions

What is the registry number for MRS. JAZMIN MATLOCK BAKER (D.O.)?
The registry entry for MRS. JAZMIN MATLOCK BAKER (D.O.) shows NPI 1124312004.
Does the public listing show MRS. JAZMIN MATLOCK BAKER (D.O.) as active?
MRS. JAZMIN MATLOCK BAKER (D.O.)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. JAZMIN MATLOCK BAKER (D.O.) does?
Insurance directories may phrase it differently, but here MRS. JAZMIN MATLOCK BAKER (D.O.) maps to Obstetrics Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. JAZMIN MATLOCK BAKER (D.O.) in Tahlequah, Oklahoma?
For routing, start with Tahlequah, Oklahoma for MRS. JAZMIN MATLOCK BAKER (D.O.), then verify phone and hours locally.
Who maintains MRS. JAZMIN MATLOCK BAKER (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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