Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Roberts

Individual provider Family Nurse Practitioner · NPI 1023993094

Jacob Roberts is a Nurse Practitioner in Coweta, Oklahoma. Qualified in 2025, 1 year ago. Practices with Creek Nation Hospital and Clinics, a 390-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2025

Practice location Address checks out

27427 E 109th St S
Coweta, OK 74429-3442
Phone: (918) 617-1978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 225438 (OK)

Record details

NPI number1023993094
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address27427 E 109th St S, Coweta, OK 74429-3442

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Creek Nation Hospital And Clinics — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Coweta