Individual provider Active NPI

Jessica Hinson

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1417229220
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN 1425 Issued in HI
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

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101001760 TX Practitioner - Nurse Practitioner 9537324355 Reassigns benefits to 1 organization

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
Family Medicine Associates of El Paso, PLLCGroup PAC ID 1153504196, 11 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN 1425HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of El Paso, PLLC CurrentSince Sep 19, 2017 Accepting new patients
Good Night El Paso LLC CurrentSince Feb 15, 2025 Accepting new patients
Kahuku Medical Center PastSince Aug 30, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.