| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JILL N SPREITER | 1477615060 | 2024-11-08 |
Jill N Spreiter [F] graduated in 2016 and primarily specializes in Physician Assistant.
Jill N Spreiter is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477615060. Registration indicates Jill N Spreiter is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| PECOS ID | 749354009 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jill N Spreiter |
| Other Provider Name | Jill N Hardin |
| Practice Office Address | 2431 E 61ST ST STE 500 TULSA, OK US |
| Practice Office Telephone | 9185826800 |
| Practice Office Fax | 9185826060 |
| Mailing Address | 2431 E 61ST ST STE 500 TULSA, OK 741361208 US |
| Business Telephone | 9185826800 |
| Business Fax | 9185826060 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant |
| 200222580A | MEDICAID | OK | |
| 1586 | OTHER | OK | LICENSE |
| 15-01453 | OTHER | KS | KSBHA |