Organization Active NPI

Jesko Wellness

Doing business as jeskowellness.com

  • Nurse Practitioner
  • Elk City, OK
National Provider Identifier
1033968771
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
JESKO WELLNESS
Doing business as
Jesko Wellness
jeskowellness.com
Practice address
100 S Monroe St Ste 15
Elk City, OK 73644-5762
Phone
(581) 210-9396
Fax
(580) 245-6457
NPI assigned
May 15, 2024
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Mrs. Joycy Pranabdev, PMHNP-BCNPI 1194429829
Title
Provider
Phone
(580) 210-9396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

100 S Monroe St Ste 15
Elk City, OK 73644-5762

Mailing address

2606 E Highway 66
Elk City, OK 73644-9611
Phone (405) 345-5366

Other practice location 1

1002 NE Highway 66 Ste 3
Sayre, OK 73662-9312
Phone (405) 345-5366 ext. 90379

Other practice location 2

629 W Main St
Oklahoma City, OK 73102-2221
Phone (405) 345-5366

Other identifiers 3

IdentifierTypeStateIssuer
1033968771MedicaidOK
1194429829OtherOKPSYCHIATRRY
201264530MedicaidOK

Other names 2

  • JESKO WELLNESS Doing business as
  • jeskowellness.com Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240805003211 OK Part B Supplier - Clinic/Group Practice 9931646262 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

2606 E Highway 66
Elk City, OK 73644

100 S Monroe St
Ste 15
Elk City, OK 73644
Phone (580) 210-9396

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1033968771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 E HIGHWAY 66",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736449611",
            "telephone_number": "405-345-5366",
            "fax_number": "580-245-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MONROE ST STE 15",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445762",
            "telephone_number": "581-210-9396",
            "fax_number": "580-245-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 NE Highway 66 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "OK",
            "postal_code": "736629312",
            "country_code": "US",
            "telephone_number": "405-345-5366 x90379",
            "fax_number": "580-245-6457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 W Main St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731022221",
            "country_code": "US",
            "telephone_number": "405-345-5366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESKO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "PRANABDEV",
        "authorized_official_first_name": "JOYCY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "580-210-9396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033968771",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRRY",
            "identifier": "1194429829",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201264530",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JESKO WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "jeskowellness.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.