Nerve Renewal Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NERVE RENEWAL GROUP LLC

Practice address

3705 NW 63Rd St Ste 101
Oklahoma City, OK 73116-1937

Phone

(405) 495-9270

NPI assigned

Sep 17, 2021

Last updated

Aug 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Bales

Title

Authorized Official

Phone

(405) 495-9270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latrica Friley Dorsey, MSN

  • Gerontology Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1538696083
  Medicare reassignment Care Compare group NPD
• Debra O'Day

  • Primary Care Nurse Practitioner
  • Stillwater, OK
  • NPI 1013392737
  Medicare reassignment Care Compare group NPD
• Linda Varghese, FNP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1215552658
  Medicare reassignment Care Compare group NPD
• Ivy Cherian, APRN-CNP

  • Primary Care Nurse Practitioner
  • Yukon, OK
  • NPI 1578296042
  Medicare reassignment NPD
• Jennifer Kathleen Hinkle, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1003057670
  Medicare reassignment NPD
• Taylor F Lancaster, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1760521645
  Medicare reassignment NPD
• April Morrison, APRN

  • Family Nurse Practitioner
  • Norman, OK
  • NPI 1689060725
  Medicare reassignment NPD
• Kristal Ladawn Vasquez, AGNP-C

  • Primary Care Nurse Practitioner
  • Tulsa, OK
  • NPI 1063030088
  NPD (past)

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1538839832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-953-7221",
            "fax_number": "405-669-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-495-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVE RENEWAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "405-495-9270"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Herman Nelson II
• Lauren Nemecek
• Danna Camille Nemri, DO
• Nephrology and Hypertension Specialists of Oklahoma PC
• Stephanie Nero
• Daniel D Nerys
• Randall Nesom, MD
• Mandy Alane Nespeca, BS, CM-A
• Robert Lynn Nesselrode, M.D.
• Jacob Isaac Nesser, OTR/L

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, 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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.