Individual provider Active NPI

Rebekkah Jackman, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1083184113
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80615 Issued in OK
Practice address
1001 W Memorial Rd Ste 112
Oklahoma City, OK 73114-2000
Phone
(405) 509-6599
Fax
(888) 219-8102
NPI assigned
Dec 2, 2018
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0103814-C-NP CO
Family Nurse Practitioner 363LF0000X AP61671216 WA
Family Nurse Practitioner 363LF0000X 122456 WV
Family Nurse Practitioner 363LF0000X 80615 OK Primary

Addresses

Primary practice location

1001 W Memorial Rd Ste 112
Oklahoma City, OK 73114-2000

Mailing address

14121 Paddle Wheel PL
Oklahoma City, OK 73170-1261

Other practice location 1

481 Merchant Dr # 100
Norman, OK 73069-6565
Phone (405) 509-6599

Other practice location 2

4105 Briargate Pkwy Ste 115
Colorado Springs, CO 80920-3482
Phone (719) 886-4505

Other practice location 3

1214 Harrison Ave NW
Olympia, WA 98502
Phone (360) 207-3650

Other practice location 4

421 Carriage Dr
Beckley, WV 25801-2805
Phone (304) 202-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO, WA, WV4 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
I20190531001535 OK Practitioner - Nurse Practitioner 9739412081 Reassigns benefits to 1 organization
I20250320000221 CO Practitioner - Nurse Practitioner 9739412081 Reassigns benefits to 1 organization
I20250716000718 WA Practitioner - Nurse Practitioner 9739412081 Reassigns benefits to 1 organization
I20250726000228 WV Practitioner - Nurse Practitioner 9739412081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flexcare Infusion Okc, LLCGroup PAC ID 3870826118, 6 clinicians

Practice addresses (Care Compare)

1001 W Memorial Rd
Suite 112
Oklahoma City, OK 73114-2000
Phone (405) 509-6599

1214 Harrison Ave NW
Olympia, WA 98502-5466
Phone (360) 207-3650

1665 E Pea Ridge Rd
Huntington, WV 25705-8027
Phone (681) 356-1820

4105 Briargate Pkwy
Suite 115
Colorado Springs, CO 80920-3482
Phone (405) 509-6599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
122456WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flexcare Infusion Okc, LLC CurrentSince May 1, 2019 Accepting new patients
Flexcare Infusion Okc, LLC PastSince Jul 28, 2025 Accepting new patients

Locations

4105 Briargate Pkwy
Ste 115
Colorado Springs, CO 80920
Phone (719) 368-6846

991 Southpark Dr
Ste 202
Littleton, CO 80120
Phone (713) 348-9250

481 Merchant Dr
#100
Norman, OK 73069

1001 W Memorial Rd
Ste 112
Oklahoma City, OK 73114
Phone (913) 908-9163

1826 E 15th St
Ste A
Tulsa, OK 74104
Phone (918) 712-2000

8556 E 101st St
Ste G
Tulsa, OK 74133
Phone (539) 444-8756

15419 NE 20th St
Ste 102
Bellevue, WA 98007
Phone (360) 207-3650

13030 121st Way NE
Ste 102
Kirkland, WA 98034
Phone (425) 814-2800

1214 Harrison Ave NW
Olympia, WA 98502
Phone (360) 207-3650

421 Carriage Dr
Ste 421
Beckley, WV 25801
Phone (304) 202-1993

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, 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": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1083184113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14121 PADDLE WHEEL PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731701261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MEMORIAL RD STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142000",
            "telephone_number": "405-509-6599",
            "fax_number": "888-219-8102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 Merchant Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730696565",
            "country_code": "US",
            "telephone_number": "405-509-6599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4105 Briargate Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203482",
            "country_code": "US",
            "telephone_number": "719-886-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1214 Harrison Ave NW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98502",
            "country_code": "US",
            "telephone_number": "360-207-3650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Carriage Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012805",
            "country_code": "US",
            "telephone_number": "304-202-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "REBEKKAH",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-02",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0103814-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61671216",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "122456",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "80615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.