Jessi Runyan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08181183 Issued in OK

Practice address

2801 Parklawn Dr Ste 302
Midwest City, OK 73110-4230

Phone

(580) 710-6644

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Healwell, LLC

  • Nurse Practitioner
  • Midwest City, OK
  • NPI 1639804602

  Family

  Medicare reassignment NPD
• Healwell of Texas LLC

  • Physician Assistant
  • Austin, TX
  • NPI 1740976265

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1538705181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR STE 302",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104230",
            "telephone_number": "580-710-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR STE 302",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104230",
            "telephone_number": "580-710-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "JESSI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F08181183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rudek
• Theodore A Ruff, MD
• Grace Ruidera, M.D.
• Waldemar Ruiz, DMD MS
• David Matthew Runnels I, M.S.W.
• Melissa Lynn Russell
• Rachel Elizabeth Russell, OT
• Kim A Ryan, PA
• Jolene Rychtik, NP
• Safari Dental Inc

• Family Nurse Practitioner in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.