Individual provider Active NPI

Leslie Michele Jump, ARNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1063718237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
84850 Issued in OK
Practice address
1810 E Memorial Rd
Oklahoma City, OK 73131-1237
Phone
(405) 607-4333
Fax
(405) 607-4404
NPI assigned
Feb 4, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 84850 OK Primary

Addresses

Primary practice location

1810 E Memorial Rd
Oklahoma City, OK 73131-1237

Mailing address

1810 E Memorial Rd
Oklahoma City, OK 73131-1237
Phone (405) 607-4333

Other practice location 1

1139 36th Ave NW Ste 200
Norman, OK 73072-4113
Phone (405) 217-9997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240408000655 AR Practitioner - Nurse Practitioner 1355576430 Reassigns benefits to 1 organization
I20240705002036 MO Practitioner - Nurse Practitioner 1355576430

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 So 52ND St
Rogers, AR 72758
Phone (479) 464-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84850OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hedberg Allergy and Asthma Center, PA CurrentSince Mar 1, 2024 Accepting new patients
Affordable Quality Healthcare, LLC Past Accepting new patients

Locations

1585 E Rainforest Rd
Fayetteville, AR 72703
Phone (479) 301-8887

700 S 52nd St
Rogers, AR 72758
Phone (479) 464-8887

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063718237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311237",
            "telephone_number": "405-607-4333",
            "fax_number": "405-607-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311237",
            "telephone_number": "405-607-4333",
            "fax_number": "405-607-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 36th Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730724113",
            "country_code": "US",
            "telephone_number": "405-217-9997",
            "fax_number": "405-307-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUMP",
        "first_name": "LESLIE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "84850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.