JESSICA D.T. LE – Acute Care Clinical Nurse Specialist, NPI 1811631450

JESSICA D.T. LE is a healthcare provider. based in Tulsa, Oklahoma. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold a License No. 221149 (OK). The NPI Number for JESSICA D.T. LE is 1811631450

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA D.T. LE
NPI
1811631450
Phone
(918) 629-3008
Address
7752 S TRENTON AVE
Enumeration Date
20 April 2022
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087248599
Graduation Year
2022 (4 years ago)
PAC ID
5597271130
Group Practice PAC ID
9032597257
Professional Enrollment ID
I20250722000038
Address ID
OK741058206TU2621XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

123 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OK

Provider Addresses for JESSICA D.T. LE

  • 7752 S TRENTON AVE

    TULSA, OK 741367609

    Phone: (918) 629-3008

    Type: Mailing

  • 421 STONE WOOD DR

    BROKEN ARROW, OK 740121026

    Phone: (918) 872-8822

    Type: Location

  • 10505 E 91ST ST STE 205

    TULSA, OK 741335829

    Phone:

    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: 2025-07-22

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
I20250722000038ICertified Clinical Nurse Specialist (Cns)OKTBD

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 74136)

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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: 9032597257View full group profile
NameSpecialtyState
Internal MedicineOK
Nurse PractitionerOK
Physician AssistantOK
Hospitalist, Critical Care (Intensivists), Internal Medicine, Pulmonary Disease, Sleep Medicine, Pulmonary DiseaseOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Internal MedicineOK

Reviews

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Frequently asked questions

What is the standard ID for JESSICA D.T. LE in the U.S.?
In the U.S., JESSICA D.T. LE is identified by NPI 1811631450.
Does the public listing show JESSICA D.T. LE as active?
JESSICA D.T. LE's NPI record reflects an active status in NPPES.
How should patients interpret JESSICA D.T. LE's specialty?
The extract shows Acute Care Clinical Nurse Specialist for JESSICA D.T. LE. Clinical services aligned with this taxonomy classification.
Can patients visit JESSICA D.T. LE in Tulsa, Oklahoma?
For routing, start with Tulsa, Oklahoma for JESSICA D.T. LE, then verify phone and hours locally.
Can I export JESSICA D.T. LE's record?
You can download the official NPPES record; we summarize key fields for readability.

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