Jacqueline Ann Yarbrough, FNP- C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0077656 Issued in OK

Practice address

13509 N Meridian Ave
Oklahoma City, OK 73120-8397

Phone

(405) 937-7422

Fax

(405) 848-3591

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Long Term Care Specialists, IncGroup PAC ID 3476550740, 37 clinicians

Enhanced Wound Care LLCGroup PAC ID 2769877000, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centric Home Health Home health agency, Durant, OK, CCN 377791

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIBCBD

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.

• Enhanced Wound Care LLC

  • Point of Service
  • Nichols Hills, OK
  • NPI 1306594148

  TX

  Medicare reassignment Care Compare group NPD
• Long Term Care Specialists, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1497761159
  Medicare reassignment Care Compare group NPD
• Value Based Long Term Care J PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1932931474

  OK

  Medicare reassignment NPD
• Careconnectmd Oklahoma PC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1578244018
  NPD
• Choice Home Health, Inc

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1144321597
  NPD (past)
• PSG - Willow Park LLC

  • Nursing Facility/Intermediate Care Facility
  • Lawton, OK
  • NPI 1821093352
  NPD (past)
• Enhanced Wound Care LLC

  • Point of Service
  • Overland Park, KS
  • NPI 1306528864
  NPD (past)

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

• Genesis Healthcare, LLC

  • Home Health Agency
  • Durant, OK
  • NPI 1407202740
  Care Compare affiliation

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1124536388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SILVER HILL DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323316",
            "telephone_number": "405-557-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13509 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208397",
            "telephone_number": "405-937-7422",
            "fax_number": "405-848-3591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4488 NW 257th St",
            "address_purpose": "LOCATION",
            "city": "Indiahoma",
            "state": "OK",
            "postal_code": "735523230",
            "country_code": "US",
            "telephone_number": "580-591-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OK",
            "license": "77656",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0077656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yumei Yao, M.D.
• Yaohan Lam Dermatology PLLC
• Debra Ann Yarbrough
• Dhana Bree Yarbrough, OTR/L
• Haley Yarbrough
• Nasstasja Dainera Calisto Yargee
• Irim S Yasin, M.D.
• Muhammad Yasin, M.D.
• Kewser Said Yassin, MD
• Paul S Yasuda, MD

• Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.