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

Jacob Ryan Batterton

Individual provider Physician Assistant · NPI 1164206249

Jacob Ryan Batterton is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2025, 1 year ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2023
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Practice location Address checks out

8803 S 101st East Ave Ste 300
Tulsa, OK 74133-5732
Phone: (918) 574-0220
Fax: (918) 547-0229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164206249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address9805 N 102nd East Ave, Owasso, OK 74055-6686

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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