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

Jalyssa Ericka Valencia

Individual provider Medical Physician Assistant · NPI 1851068407

Jalyssa Ericka Valencia is a Physician Assistant in Wagoner, Oklahoma. Qualified in 2022, 4 years ago. Practices with Caldwell Medical Group, PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2021

Practice location Address checks out

2109 S Highway 69
Wagoner, OK 74467-9310
Phone: (918) 485-6069
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1851068407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address2109 S Highway 69, Wagoner, OK 74467-9310

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Caldwell Medical Group, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare