Individual provider Active NPI

Jodi Jenista, APRN-CNP

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1104205186
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89504 Issued in OK
Practice address
2925 Astoria Way
Edmond, OK 73034-5997
Phone
(405) 254-3000
NPI assigned
May 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 89504 OK Primary

Addresses

Primary practice location

2925 Astoria Way
Edmond, OK 73034-5997

Mailing address

6 Early Dawn Dr
Edmond, OK 73034-7018
Phone (405) 255-9146

Other identifiers 1

IdentifierTypeStateIssuer
89504OtherOKSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210115002443 WA Practitioner - Nurse Practitioner 6800107301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Services for Wellbeing, Inc.Group PAC ID 2163641598, 29 clinicians

Practice addresses (Care Compare)

15811 Ambaum Blvd SW
Suite 110
Burien, WA 98166-3071
Phone (206) 242-8211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers Inc. CurrentSince Feb 27, 2019 Accepting new patients
Community Health Centers, Inc. CurrentSince Feb 27, 2019 Accepting new patients
V Erin Files Aprn-CNP PLLC Family CurrentSince May 7, 2024 Accepting new patients
Counseling Services for Wellbeing, Inc. CurrentSince Jan 18, 2021 Accepting new patients

Locations

2925 Astoria Way
Edmond, OK 73034
Phone (405) 254-3000

5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028

130 N Broadway Ave
Ste 300
Shawnee, OK 74801
Phone (405) 395-0399

12716 NE 36th St
Spencer, OK 73084
Phone (405) 466-2535

15811 Ambaum Blvd SW
Ste 110
Burien, WA 98166
Phone (206) 242-8211

Interoperability endpoints

  • Direct secure messaging: jjenista@chciokc.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1104205186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EARLY DAWN DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347018",
            "telephone_number": "405-255-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 ASTORIA WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345997",
            "telephone_number": "405-254-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENISTA",
        "first_name": "JODI",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-24",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "89504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "89504",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.