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

Jason Mommaerts, PA-C

Individual provider Physician Assistant · NPI 1053685966

Jason Mommaerts, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Licensed in California, Oklahoma and Texas. Registered with an NPI since 2012.

Licensed in
CA, OK, TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

921 NE 13th St
Oklahoma City, OK 73104-5007
Phone: (405) 456-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5627 (OK)
Physician Assistant Taxonomy 363A00000X · Licence PA62166 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA17224 (TX)

Record details

NPI number1053685966
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2012
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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