NPIMap

Individual provider Active NPI

Jessica Simmons, APRN, FNP-BC

  • Family Nurse Practitioner
  • Clinton, OK
National Provider Identifier
1174108518
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201374 Issued in OK
Practice address
90 N 30TH St Ste 1
Clinton, OK 73601-3100
Phone
(580) 323-0232
NPI assigned
Mar 17, 2021
Last updated
Nov 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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 201374 OK Primary

Addresses

Primary practice location

90 N 30TH St Ste 1
Clinton, OK 73601-3100

Mailing address

810 S Randall Ave
Elk City, OK 73644-6200
Phone (580) 799-1690

Other names 1

  • Jessica Wright Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jess.wright.1@4696.direct.athenahealth.com
Direct Messaging Address jessica.wright@athenahma.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610002704 OK Practitioner - Nurse Practitioner 9032519129 Reassigns benefits to 2 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
Robert V Blakeburn MD PCGroup PAC ID 0446293120, 6 clinicians
Mark Mann, M.D., P.C.Group PAC ID 5890862361, 2 clinicians

Practice addresses (Care Compare)

800 Frisco Ave
Clinton, OK 73601-3306

800 Frisco Ave
Suite a
Clinton, OK 73601-3323

90 N 30TH St
Suite 4
Clinton, OK 73601-3100
Phone (580) 323-0232

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert V Blakeburn MD PC CurrentSince Jun 1, 2025 Accepting new patients
Aesthetic Artistry LLC CurrentSince Aug 24, 2026 Accepting new patients
Western Plains Family Medicine, LLP Current Accepting new patients
Mark Mann, M.D., P.C. CurrentSince Aug 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Clinton Hospital Authority Past Accepting new patients

Locations

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

800 Frisco Ave
Clinton, OK 73601
Phone (580) 323-2700

800 Frisco Ave
Ste A
Clinton, OK 73601
Phone (580) 323-2700

90 N 30th St
Ste 1
Clinton, OK 73601
Phone (580) 323-0232

90 N 30th St
Ste 4
Clinton, OK 73601
Phone (580) 323-0232

900 S Randall Ave
Ste A
Elk City, OK 73644

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFFBA/Endpoint/GDFFBA
  • Direct secure messaging: jess.wright.1@4696.direct.athenahealth.com
  • Direct secure messaging: jessicasimmons@rvbmp-ok.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1174108518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S RANDALL AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736446200",
            "telephone_number": "580-799-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N 30TH ST STE 1",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013100",
            "telephone_number": "580-323-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JESSICA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jess.wright.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3140 Hayes Ave",
            "city": "Clinton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736013601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.wright@athenahma.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3140 Hayes Ave",
            "city": "Clinton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736013601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WRIGHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.