MS. JO LESLIE PETTY (MS ARNP) – Family Nurse Practitioner, NPI 1265404792

MS. JO LESLIE PETTY (MS ARNP) is a healthcare provider. based in Claremore, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials MS ARNP. They hold a License No. R004213 (OK). The NPI Number for MS. JO LESLIE PETTY (MS ARNP) is 1265404792

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. JO LESLIE PETTY (MS ARNP)
NPI
1265404792
Phone
(918) 527-3969
Address
2404 CORNERSTONE CIR
Enumeration Date
7 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185566412
Graduation Year
2004 (22 years ago)
PAC ID
5698864726
Group Practice PAC ID
2264960939
Professional Enrollment ID
I20071127000786
Address ID
OK741031807TU415XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MS. JO LESLIE PETTY (MS ARNP)

  • 2404, Cornerstone Circle, Claremore, Rogers County, Oklahoma, 74017, United States

    CLAREMORE, OK 740172030

    Phone: (918) 527-3969

    Type: Mailing

  • University of Oklahoma - Tulsa, 4502, East 41st Street, Max Campbell V, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741352553

    Phone: (918) 660-3614

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-21

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: 2007-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20071127000786INurse PractitionerOKTBD

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 74017)

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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: 2264960939View full group profile
NameSpecialtyState
Nurse PractitionerOK

Reviews

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Frequently asked questions

What identifier follows MS. JO LESLIE PETTY (MS ARNP) across health systems?
The NPI 1265404792 uniquely identifies MS. JO LESLIE PETTY (MS ARNP) in U.S. healthcare data.
Quick check: is MS. JO LESLIE PETTY (MS ARNP) active?
Public NPPES data shows MS. JO LESLIE PETTY (MS ARNP) with an active NPI status right now.
Which specialty label fits MS. JO LESLIE PETTY (MS ARNP)?
NPPES ties MS. JO LESLIE PETTY (MS ARNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. JO LESLIE PETTY (MS ARNP)?
MS. JO LESLIE PETTY (MS ARNP) is associated with Claremore, Oklahoma in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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