Jacqueline Sue Rollins, CP-N

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0041400 Issued in OK

Practice address

117 N. Broadway
Broken Bow, OK 74728-5304

Phone

(580) 236-4314

NPI assigned

Jul 23, 2012

Last updated

Feb 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mays Housecall Home Health of South East Ok, LLC Home health agency, Idabel, OK, CCN 377169
• McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342
• Hill Nursing Home, Inc. Nursing home, Idabel, OK, CCN 375234

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Healing Touch Family Clinic, LLC

  • Health Service Clinic/Center
  • Idabel, OK
  • NPI 1326439266
  Medicare reassignment NPD
• Hill Nursing Home, Inc.

  • Mental Illness Intermediate Care Facility
  • Idabel, OK
  • NPI 1922005230
  NPD (past)
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hill Nursing Home, Inc.

  • Mental Illness Intermediate Care Facility
  • Idabel, OK
  • NPI 1922005230

  Nursing home

  Care Compare affiliation
• Mays Housecall Home Health of South East Ok, LLC

  dba Mays Home Care Broken Bow

  • Home Health Agency
  • Idabel, OK
  • NPI 1275023756
  Care Compare affiliation
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1205181559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605024",
            "telephone_number": "903-905-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N. BROADWAY",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747285304",
            "telephone_number": "580-236-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "CP-N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0041400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Jewelanna Pruett, D.PH.
• Pruetts Food Inc (Pruett Foods Pharmacy)
• Jessica Pruitt
• Kimberly Reece, NP-C
• Chelsea Richardson, MA, LPC
• Sequelcare of Oklahoma
• Sequelcare of Oklahoma, LLC
• Sequelcare of Oklahoma, LLC
• Sherrill's Respiratory & Diabetic
• Sherrills Corporation (Sherills Pharmacy and Gifts)

• Family Nurse Practitioner in Broken Bow, OK
• Providers in Broken Bow, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.

Verify at the official NPI Registry.