Samara Ja'Nel Jack, PA-C
- Part D claims, 2024
- 69
- MIPS score, 2024
- 73
- Hospital affiliations
- 1
- Medical groups
- 4
- State license
- 1
- Practice address
- 1923 South Utica Avenue, Tulsa, OK 74104
- Practice phone
- Call (918) 744-2296
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
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Samara Ja'Nel Jack is a physician assistant in Tulsa, Oklahoma
Samara Jack practices at Ascension St. John Medical Center in Tulsa, Oklahoma, part of Ascension Health Alliance.
Samara Jack's NPI, 1245550433, was assigned on June 10, 2010. Samara Jack holds Oklahoma license 1919.
- NPI
- 1245550433NPI Registry (opens in a new tab)
- NPI enumeration date
- June 10, 2010
- NPI status
- Active
- Practice phone
- (918) 744-2296
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 43
- Medical school graduation
- 2009
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Samara Ja'Nel Jack practices at Ascension St. John Medical Center in Tulsa, Oklahoma
Samara Jack's primary practice is Ascension St. John Medical Center, at 1923 South Utica Avenue, Tulsa, OK 74104 in Tulsa County. The practice phone is (918) 744-2296.
- Ascension St. John Medical Center1923 South Utica Avenue, Tulsa, OK 74104 · Tulsa CountyPhone(918) 744-2296
Source: Dmand AI Affiliation Data
Samara Ja'Nel Jack is affiliated with 3 sites of care and 4 medical groups
Samara Jack's primary practice is Ascension St. John Medical Center in Tulsa, Oklahoma, part of Ascension Health Alliance. The medical group on file is Ascension St. John. Dmand AI also links Samara Jack to 3 more medical groups, 1 group practice or clinic and 1 urgent care center, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Samara Ja'Nel Jack's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Samara Jack practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Ascension St. John Medical Center | Available with a free account |
| +2 more sites and 3 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Ascension Health Alliance and 6.2K+ hospitals, with verified contacts in the same login.
Samara Ja'Nel Jack is one of 1,545 physician assistants in Oklahoma
Physician assistant is Samara Jack's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Samara Jack is licensed in Oklahoma.
Specialties and state licenses
- Physician assistant, OklahomaPrimary
Physician assistants near Samara Jack
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Samara Ja'Nel Jack's patients have a median age of 53
Across all payers, Dmand AI patient panel data puts Samara Jack's median patient age at 53, with 41% women.
Samara Jack's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 53
Patient panel by sex, all payers
- Women41%
- Men59%
Source: Dmand AI Patient Panel Data
Samara Ja'Nel Jack wrote 69 Medicare Part D claims in 2024
In 2024, Samara Jack wrote 69 Medicare Part D claims for 37 patients. 94% of them were for generic drugs.
Samara Jack's Part D claims by kind of drug, 2024
- Generic65 claims94%
- Brand-name and other4 claims6%
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
Samara Ja'Nel Jack scored 73 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 73 out of 100 for Samara Jack for performance year 2024, reported as part of a group.
Samara Jack's MIPS scores, performance year 2024
- 73of 100Final score
- 20of 100Improvement Activities
- 83of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
For MedTech and pharma teams
Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.
Sources for Samara Ja'Nel Jack's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Samara Ja'Nel Jack
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Samara Ja'Nel Jack's NPI number?
Samara Ja'Nel Jack's NPI number is 1245550433. It was assigned on June 10, 2010, and it is active in the NPI Registry.
What does Samara Ja'Nel Jack specialize in?
Samara Ja'Nel Jack is a physician assistant in Tulsa, Oklahoma. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Samara Ja'Nel Jack practice?
Samara Jack practices at 1923 South Utica Avenue, Tulsa, OK 74104. Samara Jack's primary practice is Ascension St. John Medical Center in Tulsa, Oklahoma, part of Ascension Health Alliance. Dmand AI also links Samara Jack to 3 medical groups, 1 group practice or clinic and 1 urgent care center.
What is Samara Ja'Nel Jack's office phone number?
The practice phone on file for Samara Jack is (918) 744-2296.
What is Samara Ja'Nel Jack's medical license number?
Samara Jack holds Oklahoma license 1919.
Which hospitals is Samara Ja'Nel Jack affiliated with?
Samara Jack practices at Ascension St. John Medical Center in Tulsa, Oklahoma.
What medical group is Samara Ja'Nel Jack part of?
Samara Jack is linked to Ascension St. John. Dmand AI links Samara Jack to 3 more medical groups.
What is Samara Ja'Nel Jack's MIPS score?
Samara Jack's MIPS final score for performance year 2024 is 73 out of 100, reported as part of a group.
How long has Samara Ja'Nel Jack been practicing?
Samara Jack graduated from medical school in 2009, 17 years ago.
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