Active NPI
Jessica Ann Brewer, APRN
- Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 89364
- Practice address
- 2907 S Boston CT
Tulsa, OK 74114-5214 - Phone
- (580) 277-5551
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 89364 | OK | Primary |
Addresses
Primary practice location
2907 S Boston CT
Tulsa, OK 74114-5214
Mailing address
2907 S Boston CT
Tulsa, OK 74114-5214
Phone (580) 277-5551
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4142 S Harvard Ave
Suite D3
Tulsa, OK 74135-2617
Phone (918) 716-9717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Wellness LLC | Nurse Practitioner | Current | Accepting new patients |
| Tulsa Perinatal Evaluation Center | Past | Accepting new patients | |
| Morton Comprehensive Health Services, Inc | Past | Accepting new patients |
Locations
4146 S Harvard Ave
#F6
Tulsa, OK 74135
4142 S Harvard Ave
Ste D3
Tulsa, OK 74135
Phone (918) 486-9977
4146 S Harvard Ave
Ste F6
Tulsa, OK 74135
Phone (918) 716-9717
Interoperability endpoints
- jessica.brewer.1@20602.direct.athenahealth.com
- https://api.platform.athenahealth.com/20602/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Tulsa, OK
- NPI 1790433456
-
dba East Tulsa Family Health Center
- Federally Qualified Health Center (FQHC)
- Tulsa, OK
- NPI 1205822830
-
- Specialist
- Tulsa, OK
- NPI 1346332798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576281600000",
"number": "1609139153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 S BOSTON CT",
"city": "TULSA",
"state": "OK",
"postal_code": "741145214",
"telephone_number": "580-277-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 S BOSTON CT",
"city": "TULSA",
"state": "OK",
"postal_code": "741145214",
"telephone_number": "580-277-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "89364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.