Individual provider Active NPI

Susie Ervin Hinex, APRN-CNP

  • Family Nurse Practitioner
  • Jenks, OK
National Provider Identifier
1457087405
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003275 Issued in SD
Practice address
208 E 113TH St S
Jenks, OK 74037-3203
Phone
(918) 397-3328
NPI assigned
Jul 30, 2022
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP003275 SD Primary
Nurse Practitioner 363L00000X 209458 OK
Family Nurse Practitioner 363LF0000X 209458 OK

Addresses

Primary practice location

208 E 113TH St S
Jenks, OK 74037-3203

Mailing address

621 17TH Ave NE
Aberdeen, SD 57401-1446
Phone (918) 397-3328

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL susiehinex@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221024001367 OK Practitioner - Nurse Practitioner 7810363413
I20230204000464 TX Practitioner - Nurse Practitioner 7810363413 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209458OKMDNurse Practitioner
CP003275SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Potawatomi Nation CurrentSince Jan 3, 2023 Accepting new patients
Spectra Urgent Care, LLP CurrentSince Jan 1, 2023 Accepting new patients
Citizen Potawatomi Nation CurrentSince Jan 3, 2023 Accepting new patients
Covenant Medical Specialty LLC Family CurrentSince Nov 9, 2025 Accepting new patients
Huron Regional Medical Center Inc Past Accepting new patients
Women's Wellness Center, Prof. L.L.C. Past Accepting new patients

Locations

6520 E Reno Ave
Ste B
Oklahoma City, OK 73110
Phone (405) 733-0120

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1457087405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 17TH AVE NE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011446",
            "telephone_number": "918-397-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 113TH ST S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373203",
            "telephone_number": "918-397-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINEX",
        "first_name": "SUSIE",
        "middle_name": "ERVIN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003275",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "209458",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "susiehinex@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 E 113th St S",
            "city": "Jenks",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740373203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

Verify at the official NPI Registry.