Individual provider Active NPI

Jennifer Marie Burns

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1073910212
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9800 Broadway Extension
Suite 201
Oklahoma City, OK 73114
Phone
(405) 419-5610
Fax
(405) 419-5471
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9800 Broadway Extension
Suite 201
Oklahoma City, OK 73114

Mailing address

9800 Broadway Extension
Suite 201
Oklahoma City, OK 73114
Phone (405) 419-5610

Other names 1

  • Jennifer Marie Crabtree 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
I20150212000532 OK Practitioner - Physician Assistant 9830414911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1110 N Lee Ave
Oklahoma City, OK 73103-2612

13401 N Western Ave
Suite 302
Oklahoma City, OK 73114-1411
Phone (405) 272-6685

608 NW 9TH St
Oklahoma City, OK 73102-1049

828 SW 4TH St
Moore, OK 73160-2413
Phone (405) 799-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2452OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Jan 15, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 15, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

201 S Sara Rd
Ste 200
Mustang, OK 73064
Phone (405) 578-3250

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

3400 S Douglas Blvd
Ste 302
Oklahoma City, OK 73150
Phone (405) 272-2850

13500 S Tulsa Dr
Ste 301
Oklahoma City, OK 73170
Phone (405) 793-2900

13401 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 218-2530

1110 N Lee Ave
Ste 200
Oklahoma City, OK 73103
Phone (405) 218-2530

1110 N Lee Ave
Oklahoma City, OK 73103
Phone (405) 232-0341

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: jburns503405@direct-ehr-ssmhc.com
  • Direct secure messaging: jenniferburns@okss.allscriptsdirect.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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1073910212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXTENSION",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73114",
            "telephone_number": "405-419-5610",
            "fax_number": "405-419-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BROADWAY EXTENSION",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73114",
            "telephone_number": "405-419-5610",
            "fax_number": "405-419-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CRABTREE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.