Individual provider Active NPI

Jaime L McMinn, APRN-CNP

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1023660578
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
82934 Issued in OK
Practice address
1215 Crossroads Blvd Ste 100
Norman, OK 73072-3359
Phone
(405) 310-2715
Fax
(405) 310-6720
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 82934 OK Primary

Addresses

Primary practice location

1215 Crossroads Blvd Ste 100
Norman, OK 73072-3359

Mailing address

PO Box 722791
Norman, OK 73070-9118
Phone (405) 310-3102

Other practice location 1

4117 NW 122nd St Ste C
Oklahoma City, OK 73120-8878
Phone (405) 463-3380

Other names 1

  • Jaime L Lipham Former 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
I20190822004076 OK Practitioner - Nurse Practitioner 6103154513 Reassigns benefits to 1 organization

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
Healogics Specialty Physicians of Oklahoma PLLCGroup PAC ID 2264758705, 20 clinicians

Practice addresses (Care Compare)

4509 Integris Pkwy
Edmond, OK 73034-8696
Phone (405) 604-4380

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Oklahoma, PLLC CurrentSince Jan 1, 2022 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients
Ahs Henryetta Hospital LLC Past Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients

Locations

4509 Integris Pkwy
Edmond, OK 73034
Phone (405) 604-4380

4509 Integris Pkwy
Ste 145
Edmond, OK 73034

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280

5700 N Portland Ave
Ste 310
Oklahoma City, OK 73112
Phone (405) 604-4380

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: jmcminn13543@direct.integrisok.com
  • Direct secure messaging: jmcminn275813@ahs.direct-ci.com
  • Direct secure messaging: jmcminn537043@direct-ehr-ssmhc.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1023660578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722791",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730709118",
            "telephone_number": "405-310-3102",
            "fax_number": "405-310-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CROSSROADS BLVD STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723359",
            "telephone_number": "405-310-2715",
            "fax_number": "405-310-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4117 NW 122nd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208878",
            "country_code": "US",
            "telephone_number": "405-463-3380",
            "fax_number": "405-463-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMINN",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "82934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "LIPHAM",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.