Jeannie Rose Tallbear, APRN-CNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

210525 Issued in OK

Practice address

1491 S Sunnylane Rd
Del City, OK 73115-3037

Phone

(405) 437-2240

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric Wellness Aprn-CNP PLLCGroup PAC ID 0244665156, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychiatric Wellness Aprn-CNP PLLC

  • Adult Mental Health Clinic/Center
  • Del City, OK
  • NPI 1285273920
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1003531211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153037",
            "telephone_number": "405-437-2240",
            "fax_number": "661-231-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153037",
            "telephone_number": "405-437-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLBEAR",
        "first_name": "JEANNIE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "210525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Stormo
• Sunnylane Family Medical Clinic Inc.
• Sunnylane Medical Clinic LLC
• Courtney Leigh Swartz, DO
• Rayvon M Swindall Sr.
• Abigail Taylor, DPT
• Lavetra Taylor
• Thomas Blue Eyecare PLLC
• Thomas Dean Blue
• Thompsons Drug

• Psychiatric/Mental Health Nurse Practitioner in Del City, OK
• Providers in Del City, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.