Individual provider Active NPI

Jenna Lyn Taylor

  • Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1437717196
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115776 Issued in OK
Practice address
14041 N Eastern Ave
Edmond, OK 73013-5586
Phone
(405) 594-7855
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 115776 OK
Nurse Practitioner 363L00000X 115776 OK Primary

Addresses

Primary practice location

14041 N Eastern Ave
Edmond, OK 73013-5586

Mailing address

14041 N Eastern Ave
Edmond, OK 73013-5586
Phone (405) 594-7855

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
I20200409001706 OK Practitioner - Nurse Practitioner 3577992759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

1007 N Main St
101 Comprehensive Spine and Pain
Elk City, OK 73644-2830
Phone (580) 339-8001

4120 W Memorial Rd
Suite 205
Oklahoma City, OK 73120-9322
Phone (405) 749-4205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115776OKMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Dec 6, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

4120 W Memorial Rd
Ste 208
Oklahoma City, OK 73120
Phone (405) 755-3540

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

700 NE 13th St
#3520
Oklahoma City, OK 73104
Phone (405) 613-9704

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

4120 W Memorial Rd
Ste 205
Oklahoma City, OK 73120
Phone (405) 749-2992

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Interoperability endpoints

  • Direct secure messaging: jtaylor361365@directc.mercy.net

Organizations & group practices 6

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.

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1437717196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 N EASTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135586",
            "telephone_number": "405-594-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 N EASTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135586",
            "telephone_number": "405-594-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OK",
            "license": "115776",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "115776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.