Individual provider Active NPI

Jessica Maria Yocum, M.D.

  • Pediatrics Physician
  • Edmond, OK
National Provider Identifier
1033523220
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
30782 Issued in OK
Practice address
2820 N Kelly Ave Ste 200
Edmond, OK 73003-3015
Phone
(405) 726-8000
Fax
(405) 726-8101
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 390200000X OK
Pediatrics Physician 208000000X 30782 OK Primary

Addresses

Primary practice location

2820 N Kelly Ave Ste 200
Edmond, OK 73003-3015

Mailing address

2820 N Kelly Ave Ste 200
Edmond, OK 73003-3015
Phone (405) 726-8000

Other names 1

  • Jessica Maria Scott 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808001512 OK Practitioner - Pediatric Medicine 6901177070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30782OKMDPediatrics Physician
390200000XOKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Yocum, MD, PLLC Pediatrics Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 14, 2017 Accepting new patients
Summit Medical Center Past Accepting new patients
QS Peds Med LLC Pediatrics PastSince Jun 26, 2022 Accepting new patients

Locations

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

2820 N Kelly Ave
Ste 200
Edmond, OK 73003
Phone (405) 330-1478

1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Interoperability endpoints

  • Direct secure messaging: jessica.yocum.1@29732.direct.athenahealth.com
  • Direct secure messaging: jyocum955000@directc.mercy.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1033523220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N KELLY AVE STE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033015",
            "telephone_number": "405-726-8000",
            "fax_number": "405-726-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N KELLY AVE STE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033015",
            "telephone_number": "405-726-8000",
            "fax_number": "405-726-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "30782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCOTT",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.