Individual provider Active NPI

Jana Benda

  • Family Nurse Practitioner
  • Enid, OK
National Provider Identifier
1174407233
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224374 Issued in OK
Practice address
1805 W Owen K Garriott Rd
Enid, OK 73703-5526
Phone
(580) 233-9012
NPI assigned
Aug 2, 2025
Last updated
Aug 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 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 224374 OK Primary

Addresses

Primary practice location

1805 W Owen K Garriott Rd
Enid, OK 73703-5526

Mailing address

3413 S Union Rd
Stillwater, OK 74074-8461
Phone (405) 880-6220

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
I20251110003224 OK Practitioner - Nurse Practitioner 9436649175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

1805 W Garriott Rd
Integris Urgent Care Plus
Enid, OK 73703-5526
Phone (580) 977-1904

1805 W Owen K Garriott Rd
Enid, OK 73703-5526
Phone (580) 977-1904

2249 W Danforth Rd
Edmond, OK 73003-4600
Phone (405) 427-4954

3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224374OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Nov 2, 2025 Accepting new patients
Integris Health Allset Urgent Care LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

1805 W Owen K Garriott Rd
Enid, OK 73703
Phone (580) 233-9012

3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155

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

Organizations & group practices 2

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 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": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1174407233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 S UNION RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740748461",
            "telephone_number": "405-880-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035526",
            "telephone_number": "580-233-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDA",
        "first_name": "JANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "224374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.