Individual provider Active NPI

Jodi M Dodson, ARNP

  • Women's Health Nurse Practitioner
  • Norman, OK
National Provider Identifier
1003986563
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R0053999 Issued in OK
Practice address
1139 36TH Ave NW
Suite 100
Norman, OK 73072-4103
Phone
(405) 217-9997
Fax
(405) 307-8520
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R0053999 OK Primary

Addresses

Primary practice location

1139 36TH Ave NW
Suite 100
Norman, OK 73072-4103

Mailing address

18100 Providence Ave
Edmond, OK 73003-4142
Phone (405) 340-3971

Other identifiers 1

IdentifierTypeStateIssuer
200100030AMedicaidOK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231122003037 OK Practitioner - Nurse Practitioner 6800848730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recenter Medical LLCGroup PAC ID 2860988920, 3 clinicians

Practice addresses (Care Compare)

1728 Professional Cir
Yukon, OK 73099-6470
Phone (405) 265-2733

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0053999OKMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rachelle Wilson, DO LLC CurrentSince Dec 1, 2023 Accepting new patients
The Physicians Group LLC CurrentSince Sep 11, 2023 Accepting new patients
Recenter Medical LLC CurrentSince Sep 14, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3400 Tuxedo Blvd
Ste H
Bartlesville, OK 74006
Phone (918) 876-4205

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

4200 Carriage Way
Weatherford, OK 73096
Phone (405) 505-2505

1728 Professional Cir
Yukon, OK 73099
Phone (405) 265-2733

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACDDD/Endpoint/EACDDD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1003986563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 PROVIDENCE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034142",
            "telephone_number": "405-340-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 36TH AVE NW",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724103",
            "telephone_number": "405-217-9997",
            "fax_number": "405-307-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "JODI",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "R0053999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200100030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.