LAURIE LEIGH ISENBERG (PA) – Medical Physician Assistant, NPI 1710903604

LAURIE LEIGH ISENBERG (PA) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1342 (OK). The NPI Number for LAURIE LEIGH ISENBERG (PA) is 1710903604

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE LEIGH ISENBERG (PA)
NPI
1710903604
Phone
(918) 355-9492
Address
5050 E Kenosha St
Enumeration Date
14 July 2006
Last Update Date
10 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187442967
Graduation Year
2003 (23 years ago)
PAC ID
1557346822
Group Practice PAC ID
9739080490
Professional Enrollment ID
I20040621001540
Address ID
OK741046520TU1923XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for LAURIE LEIGH ISENBERG (PA)

  • 5050 E Kenosha St

    Broken Arrow, OK 740146711

    Phone: (918) 355-9492

    Fax: (918) 355-9250

    Type: Location

  • East 121st Street South, Bixby, Tulsa, Oklahoma, 74147, United States

    BIXBY, OK 740082654

    Phone: (918) 403-7140

    Fax: (918) 856-5392

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-21

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
I20040621001540IPhysician AssistantOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10256$0
99213Established patient office or other outpatient visit, 20-29 minutes6238$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2727$0
View full utilization report →

Insurance plans in this area (ZIP 74014)

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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: 9739080490View full group profile
NameSpecialtyState
Family PracticeOK
Family PracticeNY
Nurse PractitionerOK
Nurse PractitionerOK
Internal MedicineOK
Internal MedicineOK
-OK
Family PracticeOK
Family Practice, General Practice, Emergency MedicineND
Mental Health CounselorOK

Reviews

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Frequently asked questions

Does LAURIE LEIGH ISENBERG (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAURIE LEIGH ISENBERG (PA) uses 1710903604.
Is LAURIE LEIGH ISENBERG (PA) listed as active for patients and plans?
The listing shows LAURIE LEIGH ISENBERG (PA) as active in the NPI system.
What is LAURIE LEIGH ISENBERG (PA) best known for clinically?
Directory data describes LAURIE LEIGH ISENBERG (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does LAURIE LEIGH ISENBERG (PA) list a practice location?
Patients near Broken Arrow, Oklahoma may find LAURIE LEIGH ISENBERG (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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