Samara Jack, PA-C
NPI 1245550433 · Physician Assistant · Tulsa, OK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samara Jack, PA-C is a Physician Assistant provider in Tulsa, OK (NPI 1245550433).
Provider details
- NPI number
- 1245550433
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1919 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 1705 E 19th St Ste 302Tulsa, OK 74104-5410Phone: (918) 748-7585Fax: (918) 403-6352
Registry dates
- Enumerated
- 2010-06-10
- Last updated
- 2019-02-28
Frequently asked questions
- What is Samara Jack's NPI number?
- Samara Jack's National Provider Identifier (NPI) is 1245550433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samara Jack's specialty?
- Samara Jack is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samara Jack located?
- Samara Jack's practice location on file with NPPES is 7858 S Olympia Ave, Tulsa, OK 74132-1857.
- What is Samara Jack's phone number?
- The practice phone number listed in the NPPES registry for Samara Jack is (918) 986-9200.
- Does Samara Jack accept Medicare?
- Samara Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samara Jack's NPI active?
- Yes — Samara Jack's NPI (1245550433) is active in the NPPES registry as of the last update on 2019-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.