Individual provider Active NPI

Jackson Donald Laizure, APRN-CNP

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1437535846
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
94826 Issued in OK
Practice address
1125 N Porter Ave Ste 301
Norman, OK 73071-6443
Phone
(405) 360-2777
NPI assigned
Aug 7, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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 94826 OK Primary

Addresses

Primary practice location

1125 N Porter Ave Ste 301
Norman, OK 73071-6443

Mailing address

1125 N Porter Ave Ste 301
Norman, OK 73071-6443
Phone (405) 360-2777

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
I20160129000029 OK Practitioner - Nurse Practitioner 2961705678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Care of Oklahoma LLCGroup PAC ID 2668540774, 34 clinicians
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

11808 S May Ave
Oklahoma City, OK 73170-2560
Phone (405) 735-2370

1664 S Choctaw Rd
Suite 101
Choctaw, OK 73020-6767
Phone (405) 281-2144

3101 W Tecumseh Rd
200 Endocrine Ctr
Norman, OK 73072-1817
Phone (405) 307-5720

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

3321 W Tecumseh Rd
Suite 125
Norman, OK 73072-1857
Phone (405) 307-6900

3400 W Tecumseh Rd
Suite 100
Norman, OK 73072-1810
Phone (405) 307-6900

700 S Telephone Rd
301 Neuro Assoc of Moore
Moore, OK 73160-2547
Phone (405) 307-5701

800 24TH Ave NW
Norman, OK 73069-6314
Phone (405) 321-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94826OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care of Oklahoma LLC CurrentSince Jul 31, 2019 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Sep 1, 2019 Accepting new patients
Immediate Care of Oklahoma CurrentSince Jul 31, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

700 S Telephone Rd
Ste 300
Moore, OK 73160

1125 N Porter Ave
Ste 301
Norman, OK 73071
Phone (405) 360-2777

2000 Ann Branden Blvd
Ste 202
Norman, OK 73071
Phone (405) 253-1850

3101 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 364-5900

3101 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 360-2777

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

800 24th Ave NW
Norman, OK 73069
Phone (405) 321-7100

11808 S May Ave
Oklahoma City, OK 73170
Phone (405) 735-2370

Interoperability endpoints

  • Direct secure messaging: jackson.laizure@nrh.eclinicaldirectplus.com

Organizations & group practices 5

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 4

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1437535846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE STE 301",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-360-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE STE 301",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-360-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIZURE",
        "first_name": "JACKSON",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "94826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.