Individual provider Active NPI

Jennifer Ruth Rhine, APRN-CNP, PMHNP,BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1043090103
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
216100 Issued in OK
Practice address
4750 S Garnett Rd
Tulsa, OK 74146-5222
Phone
(539) 812-2100
Fax
(800) 242-5174
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0130893 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 216100 OK Primary

Addresses

Primary practice location

4750 S Garnett Rd
Tulsa, OK 74146-5222

Mailing address

4750 S Garnett Rd
Tulsa, OK 74146-5222
Phone (539) 812-2100

Other names 1

  • Jennifer Ruth Cooper 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
I20240419000384 OK Practitioner - Nurse Practitioner 2860831146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4750 S Garnett Rd
Suite B
Tulsa, OK 74146-5222
Phone (539) 812-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0130893OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Access Solutions Behavioral Health, LLC CurrentSince Jul 7, 2025 Accepting new patients
Mind Spa LLC Psychiatric/Mental Health CurrentSince Feb 21, 2023 Accepting new patients

Locations

3401 W Broadway St
Muskogee, OK 74401
Phone (918) 687-5477

209 S 36th St
Muskogee, OK 74401
Phone (918) 682-7717

7302 S Yale Ave
Tulsa, OK 74136
Phone (918) 392-4530

4750 S Garnett Rd
Ste B
Tulsa, OK 74146
Phone (539) 812-2100

4750 S Garnett Rd
Tulsa, OK 74146
Phone (539) 812-2100

Interoperability endpoints

  • Direct secure messaging: mindspa@mindspa.medicalservices.net

Organizations & group practices 2

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1043090103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465222",
            "telephone_number": "539-812-2100",
            "fax_number": "800-242-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465222",
            "telephone_number": "539-812-2100",
            "fax_number": "800-242-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINE",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "credential": "APRN-CNP, PMHNP,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0130893",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "216100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COOPER",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.