Jack Ryan Norgren, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7797 Issued in OK

Practice address

1921 Stonecipher Dr
Ada, OK 74820-3439

Phone

(580) 436-3980

NPI assigned

Apr 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Family Health CareGroup PAC ID 1153215413, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Gerber Hospital Hospital, Fremont, MI, CCN 231338
• Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Baldwin Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Baldwin, MI
  • NPI 1689783698

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Baldwin Family Health Care

  • Community/Retail Pharmacy
  • Big Rapids, MI
  • NPI 1497640213
  NPD
• Baldwin Family Health Care

  • Federally Qualified Health Center (FQHC)
  • White Cloud, MI
  • NPI 1558470567

  Family Medicine

  NPD
• Baldwin Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Grant, MI
  • NPI 1306955315

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mecosta County Medical Center

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  Care Compare affiliation
• Newaygo County General Hospital Association

  • Critical Access Hospital
  • Fremont, MI
  • NPI 1063836963
  Care Compare affiliation

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1437787553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 E WILCOX AVE",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498794",
            "telephone_number": "231-689-5943",
            "fax_number": "231-689-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 E Wilcox Ave",
            "address_purpose": "LOCATION",
            "city": "White Cloud",
            "state": "MI",
            "postal_code": "493498794",
            "country_code": "US",
            "telephone_number": "231-689-5943",
            "fax_number": "231-689-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORGREN",
        "first_name": "JACK",
        "middle_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jack.norgren.p1@direct.bfhc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1035 E Wilcox Ave",
            "city": "White Cloud",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493498794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Joshua Newton, DMD
• Caroline NG, RD
• Denise Nguyen
• Mona Jean Nickerson, APRN, FNP-C
• Timothy E Norris
• Jordan Northam
• Aubrie Morgan Northcutt, DO
• Nova Oral Surgery LLC
• Nra Ada Oklahoma LLC

• Family Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.

Verify at the official NPI Registry.