Jill Jolene Carbajal, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

225593 Issued in OK

Practice address

1503 Harbor Rd
Grove, OK 74344-3525

Phone

(918) 786-3223

NPI assigned

Sep 4, 2025

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Phoenix Healthcare LLC

  dba Grove Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Grove, OK
  • NPI 1356454094

  Operational/Managerial Control

  CMS ownership

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.

• Phoenix Health Care LLC

  dba South Park East

  • Alzheimer Center (Dementia Center)
  • Oklahoma City, OK
  • NPI 1972518835
  NPD (past)
• Phoenix Healthcare LLC

  dba Grove Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Grove, OK
  • NPI 1356454094
  NPD (past)

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1609756139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "918-787-1909",
            "fax_number": "918-787-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 HARBOR RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443525",
            "telephone_number": "918-786-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546815",
            "country_code": "US",
            "telephone_number": "918-542-3900",
            "fax_number": "918-542-3928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vinita",
            "state": "OK",
            "postal_code": "743013742",
            "country_code": "US",
            "telephone_number": "918-256-1500",
            "fax_number": "918-323-0460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 E 13th St",
            "address_purpose": "LOCATION",
            "city": "Grove",
            "state": "OK",
            "postal_code": "743445300",
            "country_code": "US",
            "telephone_number": "918-787-1909",
            "fax_number": "918-787-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "JILL",
        "middle_name": "JOLENE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "225593",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0127441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Burks
• Teresa Kay Butler, DPH
• Paul Edward Callicoat Jr., MD
• Paula Calvin
• Sydney Cantwell, RN
• Carl's Hometown Pharmacy LLC (Carl's Hometown Pharmacy)
• Shauna Leann Carriger, MS, CCC-SLP
• Olivia Michelle Carter
• Misty M Case
• Paige Nicole Chamberlain

• Family Nurse Practitioner in Grove, OK
• Providers in Grove, 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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.