Jackie Barton McCarter, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1192391 Issued in OK

Practice address

2015 W Broadway St Ste 10B
Ardmore, OK 73401-2621

Phone

(580) 359-0184

NPI assigned

Feb 10, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NR Ardmore LLCGroup PAC ID 7214451186, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• NR Ardmore LLC

  • Physical Medicine & Rehabilitation Physician
  • Ardmore, OK
  • NPI 1720885981
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1215742135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W BROADWAY ST STE 10B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012621",
            "telephone_number": "580-359-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W BROADWAY ST STE 10B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012621",
            "telephone_number": "580-359-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "JACKIE",
        "middle_name": "BARTON",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "1192391",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "907445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Maytubby Sr.
• Haley McAdoo
• Meagan Taylor McArthur, PTA
• Larry McBride
• Lenzi McBride
• Bonnie Jo McCarthick, O.D.
• Clara Autumn McCarthy
• Michael McCarty, M.D.
• Jacie McCauley
• Kerri McCauley

• Nurse Practitioner in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.