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

Jordan Lynne Gallinis, PA

Individual provider Athletic Trainer · NPI 1184110298

Jordan Lynne Gallinis, PA is a Physician Assistant in Stillwater, Oklahoma. Qualified in 2022, 4 years ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

511 Windsor Dr
Stillwater, OK 74074-6962
Phone: (405) 707-0900
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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 4896 (OK)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1184110298
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

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 Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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