Individual provider Active NPI

Jessica Rae Henry, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Okemah, OK
National Provider Identifier
1427525880
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09180654 Issued in OK
Practice address
114036 N 3690 Rd
Okemah, OK 74859-6541
Phone
(918) 716-8378
NPI assigned
Oct 24, 2018
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 F09180654 OK Primary

Addresses

Primary practice location

114036 N 3690 Rd
Okemah, OK 74859-6541

Mailing address

114036 N 3690 Rd
Okemah, OK 74859-6541
Phone (918) 716-8378

Other names 1

  • Jessica Rae Henry Professional name

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
I20190501002467 OK Practitioner - Nurse Practitioner 4981946514 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians
Urgent Care of Muskogee PLLCGroup PAC ID 5698090926, 3 clinicians

Practice addresses (Care Compare)

112 N 3Rd St
Okemah, OK 74859-2602
Phone (918) 623-3060

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

384 S 33Rd St
Suite D
Muskogee, OK 74401-5065
Phone (918) 686-0400

700 W 7TH Ave
Bristow, OK 74010-2302

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09180654OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Dec 15, 2022 Accepting new patients
Medrite Health LLC CurrentSince Feb 25, 2019 Accepting new patients
Muskogee Medical Care PLLC CurrentSince Mar 15, 2024 Accepting new patients
Urgent Care of Muskogee PLLC CurrentSince Mar 15, 2024 Accepting new patients
Urgent Care of Muskogee PLLC CurrentSince Mar 15, 2024 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Dec 15, 2022 Accepting new patients
Medrite Health LLC Past Accepting new patients
Ahs Henryetta Hospital LLC Past Accepting new patients

Locations

384 S 33rd St
Ste D
Muskogee, OK 74401
Phone (918) 681-6560

112 N 3rd St
Okemah, OK 74859
Phone (405) 382-4939

109 W 6th St
Okmulgee, OK 74447
Phone (918) 756-3114

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

2087 E 71st St
Ste 195
Tulsa, OK 74136

6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: jhenry834860@ahs.direct-ci.com

Organizations & group practices 8

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 2

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1427525880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114036 N 3690 RD",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748596541",
            "telephone_number": "918-716-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114036 N 3690 RD",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748596541",
            "telephone_number": "918-716-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F09180654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HENRY",
            "middle_name": "RAE",
            "credential": "MSN,APRN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Okemah, OK

Sources for this page

Verify at the official NPI Registry.