Individual provider Active NPI

Jessica K Cunningham, D.O.

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1144494576
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5162 Issued in OK
Practice address
13921 N Meridian Ave
Suite 200
Oklahoma City, OK 73134
Phone
(405) 755-7430
Fax
(405) 755-6319
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 5162 OK
Obstetrics & Gynecology Physician 207V00000X 5162 OK Primary

Addresses

Primary practice location

13921 N Meridian Ave
Suite 200
Oklahoma City, OK 73134

Mailing address

13921 N Meridian Ave
Suite 200
Oklahoma City, OK 73134
Phone (405) 755-7430

Other identifiers 1

IdentifierTypeStateIssuer
200446190AMedicaidOK

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000311 OK Practitioner - Obstetrics/Gynecology 5395901862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Center for Womens HealthGroup PAC ID 4183609266, 6 clinicians

Practice addresses (Care Compare)

13921 N Meridian Ave
Suite 200
Oklahoma City, OK 73134-1104
Phone (405) 755-7430

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5162OKMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 1, 2012 Accepting new patients
Center for Women'S Health Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

2017 W I 35 Frontage Rd
Ste 260
Edmond, OK 73013
Phone (405) 216-4004

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

13921 N Meridian Ave
Ste 200
Oklahoma City, OK 73134
Phone (405) 237-9878

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

Interoperability endpoints

  • Direct secure messaging: jcunningham279465@directc.mercy.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1144494576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 N MERIDIAN AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-755-7430",
            "fax_number": "405-755-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 N MERIDIAN AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-755-7430",
            "fax_number": "405-755-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JESSICA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OK",
            "license": "5162",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "5162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200446190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.