Active NPI
Jenna Lyn Taylor
- Nurse Practitioner
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 115776
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 115776 | OK | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Interventional Pain Medicine Physician
- Elk City, OK
- NPI 1558885749
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.