Jessica D Pickens, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0096230 Issued in OK

Practice address

610 E 24TH St
Tishomingo, OK 73460-3245

Phone

(580) 371-2343

Fax

(580) 371-2451

NPI assigned

Sep 15, 2014

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica D Keeling Former name

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Family Medicine PLLCGroup PAC ID 7517486673, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliancehealth Madill Hospital, Madill, OK, CCN 371326
• Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
• Alliancehealth Durant Hospital, Durant, OK, CCN 370014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Family Medicine PLLC

  • Family Medicine Physician
  • Madill, OK
  • NPI 1699587139
  Medicare reassignment Care Compare group NPD
• Osu Center for Health Sciences

  dba Osu-Aj Madill Family Medicine Clinic

  • Medical Specialty Clinic/Center
  • Madill, OK
  • NPI 1700950672
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Durant Hma LLC

  dba AllianceHealth Durant

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  Care Compare affiliation
• Marshall County Hma, LLC

  dba AllianceHealth Madill

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556
  Care Compare affiliation
• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  Care Compare affiliation

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1407257942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0096230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KEELING",
            "middle_name": "D",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pennington Creek Lifehouse
• Pennington Creek Lifehouse
• Haley Perdue, PA
• Andria Nicole Perry, BS,BHRS
• Pharmology Tishmingo Acquisition LLC (Tishomingo Express Pharmacy)
• Lori Pigg, SLP-CCC
• Ginger Pippin
• Keith Gerrell Plummer, PA-C
• Ashley Points
• Casey Powers, MBS

• Family Nurse Practitioner in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.