Frontier Regeneration Group LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

FRONTIER REGENERATION GROUP LLC

Doing business as

NewDawn Mobile Wound Care

Practice address

601 NW 198TH St
Edmond, OK 73012-1317

Phone

(216) 224-6402

NPI assigned

Dec 26, 2025

Organization subpart

No

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

Authorized official

Name

Jordan Tisdale

Title

Partner

Phone

(216) 224-6402

Specialties & licenses 1

Addresses

Other names 1

• NewDawn Mobile Wound Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marena De Jesus, APRN

  • Gerontology Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1942017959
  Medicare reassignment

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1003772765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 198TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW 198TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121317",
            "telephone_number": "216-224-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER REGENERATION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "216-224-6402"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewDawn Mobile Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Frimpong
• Tara Winn Fritsch, M.A., L.M.F.T.
• Laura A Froese, PT
• Front Porch Counseling, PLLC
• Frontier Family Chiropractic
• Ami Mariko Hood Frost, LAMFT
• Corianne Louise Frost
• Fry Counseling Service, Inc.
• Maya Wenhan Tsai Fry
• Mariah Ashley Fugate

• Nurse Practitioner in Edmond, OK
• Providers in Edmond, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.