Active NPI
Jessica Hinson
- Family Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1417229220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN 1425
- Practice address
- 1111 S Saint Louis Ave
Tulsa, OK 74120-5440 - Phone
- (918) 619-4700
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN 1425 | HI | Primary |
Addresses
Primary practice location
1111 S Saint Louis Ave
Tulsa, OK 74120-5440
Mailing address
1310 High School Dr
Deridder, LA 70634-2912
Phone (405) 314-3810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9398 Viscount Blvd
Suite C
El Paso, TX 79925-8056
Phone (915) 594-1033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 1425 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates of El Paso, PLLC | Current | Accepting new patients | |
| Good Night El Paso LLC | Current | Accepting new patients | |
| Kahuku Medical Center | Past | Accepting new patients |
Locations
9398 Viscount Blvd
Ste C
El Paso, TX 79925
Phone (915) 219-9733
9398 Viscount Blvd
Ste 4C
El Paso, TX 79925
Phone (915) 594-1033
Interoperability endpoints
- jessica.hinson.1@33731.direct.athenahealth.com
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1417229220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 HIGH SCHOOL DR",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342912",
"telephone_number": "405-314-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S SAINT LOUIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741205440",
"telephone_number": "918-619-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINSON",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN 1425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.