Active NPI
Jessica Kay Oxendine, APRN
- Nurse Practitioner
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11012409
- Practice address
- 1300 Miccosukee Rd
Tallahassee, FL 32308-5054 - Phone
- (850) 431-1155
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11012409 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Mailing address
13180 Ringneck Rd
Tallahassee, FL 32312-9746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210624001016 | FL | Practitioner - Nurse Practitioner | 4981005204 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105
1690 N Monroe St
Tallahassee, FL 32303-5533
Phone (850) 385-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11012409 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Neurological Clinic | Current | Accepting new patients | |
| Patients First Lake Ella Medical Center P a | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
2351 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 888-0084
1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243
1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801
1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115
1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
Interoperability endpoints
- jessicaoxendine@tmhpp2.allscriptsdirect.net
- joxendine21878@tallahasseememorial.direct-ci.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1164524039
FL
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
- Cardiovascular Disease Physician
- Chipley, FL
- NPI 1679199236
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1144800491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13180 RINGNECK RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323129746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OXENDINE",
"first_name": "JESSICA",
"middle_name": "KAY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11012409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.