Individual provider Active NPI

Jayci L Purvis, PA-C

  • Physician Assistant
  • Midwest City, OK
National Provider Identifier
1083014583
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2402 Issued in OK
Practice address
9917 SE 15TH St
Midwest City, OK 73130
Phone
(405) 622-2070
NPI assigned
Sep 3, 2014
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 2402 OK Primary

Addresses

Primary practice location

9917 SE 15TH St
Midwest City, OK 73130

Mailing address

9917 SE 15TH St
Midwest City, OK 73130-5504
Phone (405) 622-2070

Other practice location 1

825 NE 10th St # Street4C
Oklahoma City, OK 73104
Phone (405) 274-7559

Other practice location 2

900 N Austin Ave Ste 105
Georgetown, TX 78626-4349
Phone (512) 930-7828

Other practice location 3

3802 Catclaw Dr
Abilene, TX 79606-8253
Phone (325) 690-1500

Other practice location 4

11888 Marsh Ln Ste 104
Dallas, TX 75234-8083
Phone (972) 488-9222

Other practice location 5

110 N 66th St
Lincoln, NE 68505-2402
Phone (402) 325-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, NE, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20141113001358 OK Practitioner - Physician Assistant 3173745882 Reassigns benefits to 4 organizations
I20220705000751 TX Practitioner - Physician Assistant 3173745882 Reassigns benefits to 3 organizations
I20230718001703 NE Practitioner - Physician Assistant 3173745882 Reassigns benefits to 2 organizations
I20231229002958 AZ Practitioner - Physician Assistant 3173745882 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
Telehealth
Offers telehealth services
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians
Nextcare Primary Care TX PLLCGroup PAC ID 0840501508, 14 clinicians
Tulsa Emergency Medical Center IncGroup PAC ID 3375442692, 23 clinicians
Wright Turn Lane PCGroup PAC ID 6305019613, 9 clinicians

Practice addresses (Care Compare)

1000 NW 32ND St
Newcastle, OK 73065-6334
Phone (405) 387-9325

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

11888 Marsh LN
Suite 104
Dallas, TX 75234-8083
Phone (972) 488-9222

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

14321 NE 23Rd St
Choctaw, OK 73020-8624
Phone (405) 342-0255

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

1634 State Hwy 351
Abilene, TX 79601-4746
Phone (325) 676-1100

2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256

2929 S Garnett Rd
Tulsa, OK 74129-5101
Phone (918) 665-1520

301 S Mustang Rd
Yukon, OK 73099-6704
Phone (405) 324-1911

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

3802 Catclaw Dr
Abilene, TX 79606-8253
Phone (325) 690-1500

401 W Blue Starr Dr
Claremore, OK 74017-4006
Phone (918) 343-6000

5300 SE 29TH St
Oklahoma City, OK 73115-4702
Phone (405) 835-2770

8419 S 73Rd PLZ
Suite 101
Papillion, NE 68046-1507
Phone (402) 991-9060

900 N Austin Ave
Suite 105
Georgetown, TX 78626-4349
Phone (512) 930-7828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2954NEMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Turn Lane PC CurrentSince Jun 28, 2023 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Mar 25, 2022 Accepting new patients
Primamed Physicians PLLC CurrentSince Mar 25, 2022 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Nov 6, 2017 Accepting new patients
Oca MWC LP Past Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

8419 S 73rd Plz
Ste 101
Papillion, NE 68046
Phone (402) 991-9060

309 S Lincoln Ave
York, NE 68467
Phone (402) 720-9986

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

825 NE 10th St
#4C
Oklahoma City, OK 73104
Phone (405) 271-1368

7301 N Comanche Ave
Warr Acres, OK 73132
Phone (405) 721-8090

7301 N Comanche Ave
Ste B
Warr Acres, OK 73132
Phone (405) 728-2100

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

900 N Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 930-1025

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: jayci.purvispac.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: jayci.purvispac.p10@direct.nextcare.nextgenshare.com
  • Direct secure messaging: jayci.purvispac.p11@direct.nextcare.nextgenshare.com
  • Direct secure messaging: jayci.purvispac.p14@direct.nextcare.nextgenshare.com
  • Direct secure messaging: jayci.purvispac.p6@direct.nextcare.nextgenshare.com
  • Direct secure messaging: jayci.purvispac.p8@direct.nextcare.nextgenshare.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1083014583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9917 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305504",
            "telephone_number": "405-622-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9917 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73130",
            "telephone_number": "405-622-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 NE 10th St # Street4C",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73104",
            "country_code": "US",
            "telephone_number": "405-274-7559",
            "fax_number": "405-271-3248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Austin Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786264349",
            "country_code": "US",
            "telephone_number": "512-930-7828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3802 Catclaw Dr",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796068253",
            "country_code": "US",
            "telephone_number": "325-690-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11888 Marsh Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752348083",
            "country_code": "US",
            "telephone_number": "972-488-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N 66th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685052402",
            "country_code": "US",
            "telephone_number": "402-325-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "JAYCI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.