Individual provider Active NPI

Jeree C Frost

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1194060665
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6874 Issued in OK
Practice address
3400 S Douglas Blvd Ste 200
Oklahoma City, OK 73150-1017
Phone
(405) 272-2850
Fax
(405) 272-2898
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Family Medicine Physician 207Q00000X 125071378 IL
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 6874 OK Primary

Addresses

Primary practice location

3400 S Douglas Blvd Ste 200
Oklahoma City, OK 73150-1017

Mailing address

3400 S Douglas Blvd Ste 200
Oklahoma City, OK 73150-1017
Phone (405) 272-2850

Other practice location 1

8912 NW 103rd st
Oklahoma City, OK 73162
Phone (405) 227-7178

Other practice location 2

815 Main St Ste A
Peoria, IL 61602-1080
Phone (309) 672-4977

Other identifiers 1

IdentifierTypeStateIssuer
125.071378OtherLICENSE

Other names 1

  • Jeree C Smith Former name

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
I20200717002975 OK Practitioner - Family Practice 1153753058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

  • SSM Health at Home Home Health - Oklahoma Home health agency, Oklahoma City, OK, CCN 377035
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125071378ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McCurtain Memorial Medical Management, Inc. CurrentSince May 1, 2021 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Nov 22, 2024 Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince May 1, 2021 Accepting new patients
Saints Medical Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632

3400 S Douglas Blvd
Ste 200
Oklahoma City, OK 73150
Phone (405) 272-2850

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

Interoperability endpoints

  • Direct secure messaging: jfrost370920@direct-ehr-ssmhc.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.

Hospital & facility affiliations 4

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194060665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731501017",
            "telephone_number": "405-272-2850",
            "fax_number": "405-272-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731501017",
            "telephone_number": "405-272-2850",
            "fax_number": "405-272-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8912 NW 103rd st",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73162",
            "country_code": "US",
            "telephone_number": "405-227-7178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616021080",
            "country_code": "US",
            "telephone_number": "309-672-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROST",
        "first_name": "JEREE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125071378",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "125.071378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREE",
            "last_name": "SMITH",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.