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

Jetta Ange, PA-C

Individual provider Physician Assistant · NPI 1336686492

Jetta Ange, PA-C is a Physician Assistant in Lawton, Oklahoma. Qualified in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2017
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

702 NW Sheridan Rd
Lawton, OK 73505-5203
Phone: (580) 576-3376
Fax: (580) 576-3375
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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 2764 (OK)

Record details

NPI number1336686492
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2017
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address702 Nw Sheridan Rd, Lawton, OK 73505-5203

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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