Jon Ann Esponge, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

M0081608 Issued in OK

Practice address

2249 W Washington St
Broken Arrow, OK 74012-6703

Phone

(918) 280-9679

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey K McIlroy MD IncGroup PAC ID 8527962216, 13 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Jeffrey K McIlroy MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claremore, OK
  • NPI 1053531830
  Medicare reassignment Care Compare group NPD
• Moonlit Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1114863081

  Family

  NPD
• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)
• Anesthesia Associates of Kansas City PC

  • Pain Medicine Physician
  • Independence, MO
  • NPI 1467443614
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1609425008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E JACKSONVILLE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121859",
            "telephone_number": "816-591-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126703",
            "telephone_number": "918-280-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPONGE",
        "first_name": "JON",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "M0081608",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019034297",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78929-071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Envision Medical & Surgical Eye Care PC
• Envision Medical & Surgical Eye Care PC
• Epic Connection Chiropractic, LLC
• Erika Diaz Counseling LLC
• Micaela Victoria Eschman
• Essential Anesthesia Management, LLC
• Eton Home Healthcare, Inc.
• Ida Eureste
• Carrie L Evans, APRN-CNP
• Heath Harris Evans, DDS

• Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.

Verify at the official NPI Registry.