Individual provider Active NPI

Jennifer Hanley Dickerson, CNP

  • Nurse Practitioner
  • Norman, OK
National Provider Identifier
1386309169
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
215748 Issued in OK
Practice address
3650 W Rock Creek Rd
Norman, OK 73072-2202
Phone
(405) 364-2666
Fax
(405) 364-9627
NPI assigned
Nov 5, 2021
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 215748 OK Primary

Addresses

Primary practice location

3650 W Rock Creek Rd
Norman, OK 73072-2202

Mailing address

3650 W Rock Creek Rd
Norman, OK 73072-2202
Phone (405) 364-2666

Other names 1

  • Jennifer Hanley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JHD@ooa.emadirect.md Direct

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
I20240215001454 OK Practitioner - Nurse Practitioner 0547651366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

3650 W Rock Creek Rd
Norman, OK 73072-2202
Phone (405) 364-2666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.94 of 100Reported as group
Quality
14.29
Promoting interoperability
97
Improvement activities
40
Cost
71.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Associates, LLC CurrentSince Dec 26, 2023 Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc PastSince Dec 26, 2023 Accepting new patients

Locations

2002 12th Ave NW
Ste D
Ardmore, OK 73401
Phone (405) 364-2666

3650 W Rock Creek Rd
Norman, OK 73072
Phone (405) 364-2666

Interoperability endpoints

  • Direct secure messaging: jhd@ooa.emadirect.md

Organizations & group practices 2

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.

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1386309169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 W ROCK CREEK RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722202",
            "telephone_number": "405-364-2666",
            "fax_number": "405-364-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W ROCK CREEK RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722202",
            "telephone_number": "405-364-2666",
            "fax_number": "405-364-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JENNIFER",
        "middle_name": "HANLEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "215748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JHD@ooa.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "JHD@ooa.emadirect.md",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3650 W Rock Creek Rd",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730722202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HANLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.