Individual provider Active NPI

Jeramiah Louis Walker, APRN

  • Family Nurse Practitioner
  • Newcastle, OK
National Provider Identifier
1497928840
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0073208 Issued in OK
Practice address
100 NW 16TH St
Newcastle, OK 73065-6248
Phone
(405) 387-3838
Fax
(405) 387-3822
NPI assigned
Apr 7, 2008
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 R0073208 OK Primary

Addresses

Primary practice location

100 NW 16TH St
Newcastle, OK 73065-6248

Mailing address

300 NW 32ND St
Newcastle, OK 73065-6300
Phone (405) 387-3838

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
I20080528000700 OK Practitioner - Nurse Practitioner 2961572334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 NW 16TH St
Newcastle, OK 73065-6248
Phone (405) 387-3838

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0073208OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeramiah Walker Aprn CNP PLLC Family CurrentSince Jan 8, 2014 Accepting new patients
Aimee Walker Ms LPC PLLC CurrentSince Mar 31, 2024 Accepting new patients
Emergency Physicians of Midwest City, LLC PastSince Mar 11, 2025 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

300 By Pass Rd
Newcastle, OK 73065
Phone (405) 387-3838

100 NW 16th St
Newcastle, OK 73065
Phone (405) 387-3838

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1497928840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 32ND ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656300",
            "telephone_number": "405-387-3838",
            "fax_number": "405-387-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 16TH ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656248",
            "telephone_number": "405-387-3838",
            "fax_number": "405-387-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JERAMIAH",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0073208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, OK

Sources for this page

Verify at the official NPI Registry.