Doctor profile · Federal record

Dr. Letitia Jackson, APRN-CNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Pauls Valley, OK

  • NPI 1063812634
  • Accepts Medicare
  • 12 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2000 W Grant Ave Ste 2
Pauls Valley, OK 730759234
(405) 238-3900
fax (405) 238-3903

Credentials & registration

NPPES · NUCC
NPI registered
September 2014 — 12 yrs on file
Profile last updated
January 15, 2024
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Oklahoma #67505

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063812634. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
908
Distinct HCPCS
10
Medicare allowed
$34,638
HCPCS Description Services Patients Avg allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg 140 32 $0
99214 Established patient office or other outpatient visit, 30-39 minutes 138 97 $101
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 120 28 $1
87804 Detection test by immunoassay with direct visual observation for influenza virus 115 53 $16
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 86 77 $49
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 77 70 $15
99213 Established patient office or other outpatient visit, 20-29 minutes 55 47 $70
96372 Injection of drug or substance under skin or into muscle 54 32 $11
99204 New patient office or other outpatient visit, 45-59 minutes 43 43 $125
81003 Automated urinalysis test 40 30 $2

In context: peer comparison

Among 3 peers in this city , average services per provider: 66. This provider delivers 14× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
403
Patients
353
Total drug cost
$3,773
Drug Type Claims Patients Total cost
Prednisone Generic 94 83 $194
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 49 44 $582
Cephalexin Generic 46 42 $276
Doxycycline Hyclate Generic 43 42 $491
Azithromycin Generic 35 34 $292
Amoxicillin Generic 32 32 $214
Cefdinir Generic 29 28 $440
Fluticasone Propionate Generic 23 23 $269
Ciprofloxacin Hcl Generic 15 0 $135
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 14 14 $326

Frequently asked questions

Auto-generated from federal data
What is Dr. Letitia Jackson's medical specialty?
Dr. Letitia Jackson practices Family Nurse Practitioner in Pauls Valley, OK.
Where does Dr. Letitia Jackson practice?
Dr. Letitia Jackson practices at 2000 W Grant Ave Ste 2, Pauls Valley, OK 730759234. Office phone: 4052383900.
What is Dr. Letitia Jackson's NPI?
Dr. Letitia Jackson's National Provider Identifier (NPI) is 1063812634, issued by NPPES.
Does Dr. Letitia Jackson accept Medicare assignment?
Yes. Dr. Letitia Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Letitia Jackson commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Established patient office or other outpatient visit (HCPCS 99214); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301). Source: CMS Medicare Physician & Other Practitioners file.