Individual provider Active NPI

Jennifer Jo Magness, NP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1437403938
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62199 Issued in OK
Practice address
3840 S 103Rd East Ave Ste 100
Tulsa, OK 74146-2445
Phone
(918) 921-9700
Fax
(918) 292-8263
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 62199 OK Primary

Addresses

Primary practice location

3840 S 103Rd East Ave Ste 100
Tulsa, OK 74146-2445

Mailing address

3840 S 103Rd East Ave Ste 100
Tulsa, OK 74146-2445
Phone (918) 921-9700

Other identifiers 1

IdentifierTypeStateIssuer
200587960AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmagness@apmcok.com 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
I20130308000377 OK Practitioner - Nurse Practitioner 2769637198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
St. Louis College of Physicians and Surgeons, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management Center of Oklahoma LLCGroup PAC ID 4789922634, 6 clinicians

Practice addresses (Care Compare)

3840 S 103Rd E Ave
Suite 100
Tulsa, OK 74146-2445
Phone (918) 921-9700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Center of Oklahoma, LLC CurrentSince Jan 1, 2019 Accepting new patients
Hatton Anesthesia LLC Past Accepting new patients

Locations

3939 S Harvard Ave
Ste 100
Tulsa, OK 74135
Phone (918) 921-9700

3840 S 103rd East Ave
Ste 100
Tulsa, OK 74146
Phone (918) 899-2751

Interoperability endpoints

  • Direct secure messaging: jennifermagness.apmcok@141255.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1437403938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 S 103RD EAST AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462445",
            "telephone_number": "918-921-9700",
            "fax_number": "918-292-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 S 103RD EAST AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462445",
            "telephone_number": "918-921-9700",
            "fax_number": "918-292-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNESS",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "62199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200587960A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmagness@apmcok.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3840 S 103rd East Ave Ste 100",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741462445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.