DORETTA JENISON (PA-C) – Physician Assistant, NPI 1962047183

DORETTA JENISON (PA-C) is a healthcare provider. based in Choctaw, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for DORETTA JENISON (PA-C) is 1962047183

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DORETTA JENISON (PA-C)
NPI
1962047183
Phone
(619) 886-0898
Address
830 OAK HILL RD
Enumeration Date
12 November 2019
Last Update Date
12 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052451453
Graduation Year
2019 (7 years ago)
PAC ID
8022448380
Group Practice PAC ID
9133465354
Professional Enrollment ID
I20200429000225
Address ID
OK731104201MI2825XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for DORETTA JENISON (PA-C)

  • 830 OAK HILL RD

    CHOCTAW, OK 730207510

    Phone: (619) 886-0898

    Mailing address matches the actual address.

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: 2020-04-29

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
I20200429000225IPhysician 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11234$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3916$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 73020)

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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: 9133465354View full group profile
NameSpecialtyState
H O S P I T A L I S TOK
-TX
Physician AssistantOK
H O S P I T A L I S TOK
Internal MedicineAR
Internal MedicineMS
Physician AssistantOK
Nurse PractitionerOK
Internal MedicineOK
Internal Medicine, NeurologyOK

Reviews

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Frequently asked questions

What is the registry number for DORETTA JENISON (PA-C)?
The registry entry for DORETTA JENISON (PA-C) shows NPI 1962047183.
Should I treat DORETTA JENISON (PA-C) as an active provider?
Patients and plans typically see DORETTA JENISON (PA-C) as active in the national extract.
How should patients interpret DORETTA JENISON (PA-C)'s specialty?
The extract shows Physician Assistant for DORETTA JENISON (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to DORETTA JENISON (PA-C)?
DORETTA JENISON (PA-C) shows a connection to Choctaw, Oklahoma in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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