Active NPI
Jesko Wellness
Doing business as jeskowellness.com
- Nurse Practitioner
- Elk City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joycy Pranabdev, PMHNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033968771 | Medicaid | OK | |
| 1194429829 | Other | OK | PSYCHIATRRY |
| 201264530 | Medicaid | OK |
Other names 2
- JESKO WELLNESS
- jeskowellness.com
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Elk City, OK
- NPI 1194429829
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.