Individual provider Active NPI

Carley Jaye Lemoine

  • Psychiatric/Mental Health Nurse Practitioner
  • Del City, OK
National Provider Identifier
1376418822
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
225876 Issued in OK
Practice address
1491 S Sunnylane Rd
Del City, OK 73115-3037
Phone
(405) 437-2235
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 225876 OK Primary

Addresses

Primary practice location

1491 S Sunnylane Rd
Del City, OK 73115-3037

Mailing address

901 Cornerstone Ave
Weatherford, OK 73096-2403
Phone (580) 816-0021

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
I20260210004591 OK Practitioner - Nurse Practitioner 2769961655 Reassigns benefits to 1 organization

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
Psychiatric Wellness Aprn-CNP PLLCGroup PAC ID 0244665156, 11 clinicians

Practice addresses (Care Compare)

120 W Broadway Ave
Thomas, OK 73669-8266
Phone (405) 437-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225876OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Wellness Aprn-CNP PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1491 S Sunnylane Rd
Oklahoma City, OK 73115
Phone (405) 437-2235

120 W Broadway Ave
Thomas, OK 73669
Phone (580) 661-3488

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1376418822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CORNERSTONE AVE",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962403",
            "telephone_number": "580-816-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153037",
            "telephone_number": "405-437-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "CARLEY",
        "middle_name": "JAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "225876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

Verify at the official NPI Registry.