Active NPI
Carley Jaye Lemoine
- Psychiatric/Mental Health Nurse Practitioner
- Del City, OK
National Provider Identifier
1376418822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 225876
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 225876 | OK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Wellness Aprn-CNP PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.