Individual provider Active NPI

Jennifer Danielle Prentice, APRN

  • Nurse Practitioner
  • Grove, OK
National Provider Identifier
1023590676
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
97758 Issued in OK
Practice address
1001 E 18TH St
Grove, OK 74344-2907
Phone
(918) 786-2243
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 97758 OK Primary

Addresses

Primary practice location

1001 E 18TH St
Grove, OK 74344-2907

Mailing address

1001 E 18TH St
Grove, OK 74344-2907
Phone (918) 786-2243

Other practice location 1

109 Steve Barry Blvd
Pryor, OK 74361-6841
Phone (405) 442-5019

Other names 1

  • Jennifer Danielle Prentice Professional name

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
I20181205002656 OK Practitioner - Nurse Practitioner 1254675069 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Health Management LLCGroup PAC ID 6305235565, 12 clinicians

Practice addresses (Care Compare)

109 Steve Barry Blvd
Pryor, OK 74361-6841
Phone (405) 422-5019

2525 Chandler Rd
Muskogee, OK 74403-5088
Phone (918) 681-7533

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97758OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Nov 1, 2020 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Nov 1, 2020 Accepting new patients
Emergency Services of Oklahoma PC Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
South Central Emergency Services PC Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
Aspire Health Management, LLC CurrentSince Sep 30, 2024 Accepting new patients
Mednow Primary Care Center LLC PastSince Jul 31, 2022 Accepting new patients
Integris Grove Hospital Past Accepting new patients
Mednow Primary Care Center LLC PastSince Jul 31, 2022 Accepting new patients

Locations

213 N Broadway St
Checotah, OK 74426
Phone (918) 401-0200

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

2525 Chandler Rd
Muskogee, OK 74403
Phone (918) 232-0768

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

109 Steve Barry Blvd
Pryor, OK 74361
Phone (405) 422-5019

949 E Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6079

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Organizations & group practices 8

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 2

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1023590676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442907",
            "telephone_number": "918-786-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442907",
            "telephone_number": "918-786-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Steve Barry Blvd",
            "address_purpose": "LOCATION",
            "city": "Pryor",
            "state": "OK",
            "postal_code": "743616841",
            "country_code": "US",
            "telephone_number": "405-442-5019",
            "fax_number": "405-442-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "JENNIFER",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "97758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PRENTICE",
            "middle_name": "DANIELLE",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.