Individual provider Active NPI

Jamie D Merideth, APRN-C

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1306436019
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202048 Issued in OK
Practice address
14101 N Eastern Ave Ste B
Edmond, OK 73013-5860
Phone
(405) 285-5664
Fax
(405) 513-6589
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 202048 OK Primary

Addresses

Primary practice location

14101 N Eastern Ave Ste B
Edmond, OK 73013-5860

Mailing address

14008 Canterbury Dr
Edmond, OK 73013-7016
Phone (405) 590-2805

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
I20210814000378 OK Practitioner - Nurse Practitioner 5092119966 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
Telehealth
Offers telehealth services
Group practices
The Physicians Group, LLC 107 clinicians

Practice addresses (Care Compare)

2117 N Kelly Ave
Edmond, OK 73003-3908
Phone (405) 726-2701

Hospital & facility affiliations

  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202048OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Medical, PC Single Specialty CurrentSince Mar 10, 2025 Accepting new patients
Oklahoma Outpatient Pain and Spine Center LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

13921 N Meridian Ave
Ste 100
Oklahoma City, OK 73134
Phone (405) 749-0900

Organizations & group practices 4

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 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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1306436019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14008 CANTERBURY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137016",
            "telephone_number": "405-590-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135860",
            "telephone_number": "405-285-5664",
            "fax_number": "405-513-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDETH",
        "first_name": "JAMIE",
        "middle_name": "D",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "202048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.