Individual provider Active NPI

Jennifer Lauren Lee, APRN-CNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1114426053
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
104617 Issued in OK
Practice address
4401 McAuley Blvd Ste 1100
Oklahoma City, OK 73120-8533
Phone
(405) 936-5455
Fax
(405) 936-5629
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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 104617 OK Primary

Addresses

Primary practice location

4401 McAuley Blvd Ste 1100
Oklahoma City, OK 73120-8533

Mailing address

4401 McAuley Blvd Ste 1100
Oklahoma City, OK 73120-8533
Phone (405) 936-5455

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
I20180423001133 OK Practitioner - Nurse Practitioner 9537422712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

5915 W Memorial Rd
Suite 200
Oklahoma City, OK 73142-2022
Phone (405) 773-6400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Sep 26, 2022 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Jul 28, 2019 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince May 1, 2018 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

5915 W Memorial Rd
Ste 200
Oklahoma City, OK 73142
Phone (405) 773-6400

5911 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6400

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4401 McAuley Blvd
Ste 1100
Oklahoma City, OK 73120
Phone (405) 936-5455

Interoperability endpoints

  • Direct secure messaging: jlee335486@direct.integrisok.com

Organizations & group practices 7

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 6

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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1114426053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MCAULEY BLVD STE 1100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208533",
            "telephone_number": "405-936-5455",
            "fax_number": "405-936-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MCAULEY BLVD STE 1100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208533",
            "telephone_number": "405-936-5455",
            "fax_number": "405-936-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "104617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.