Individual provider Active NPI

Jimmy Keith Ogden, APRN, DC

  • Family Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1548370646
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0102076 Issued in OK
Practice address
3711 Chandler Rd
Muskogee, OK 74403-4930
Phone
(918) 686-6932
Fax
(539) 313-9092
NPI assigned
Aug 30, 2006
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0102076 OK Primary
Chiropractor 111N00000X 3382 OK

Addresses

Primary practice location

3711 Chandler Rd
Muskogee, OK 74403-4930

Mailing address

3711 Chandler Road
Muskogee, OK 74403
Phone (918) 686-6932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 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
I20120626000565 OK Practitioner - Chiropractic 9931364908 Reassigns benefits to 1 organization
I20170110001937 OK Practitioner - Nurse Practitioner 9931364908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3711 Chandler Rd
Muskogee, OK 74403-4930
Phone (918) 686-6932

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0102076OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Sep 1, 2022 Accepting new patients
Northeastern Health System CurrentSince Sep 1, 2022 Accepting new patients
Tahlequah Medical Group LLC CurrentSince Sep 1, 2022 Accepting new patients
Jimmy Keith Ogden DC PC Chiropractor CurrentSince Jun 14, 2012 Accepting new patients

Locations

3711 Chandler Rd
Muskogee, OK 74403
Phone (918) 686-6932

1201 E Ross Byp
Tahlequah, OK 74464
Phone (918) 207-0991

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

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 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1548370646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 CHANDLER ROAD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74403",
            "telephone_number": "918-686-6932",
            "fax_number": "539-313-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034930",
            "telephone_number": "918-686-6932",
            "fax_number": "539-313-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "JIMMY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "APRN, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0102076",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.