Active NPI
Jeanne Lynn Pearson, APRN
- Acute Care Nurse Practitioner
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 53-75605
- Practice address
- 4013 N Ridge Rd
Suite 110
Wichita, KS 67205-8857 - Phone
- (316) 722-1333
- Fax
- (316) 722-3058
- NPI assigned
- Apr 25, 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 53-75605 | KS | Primary |
Addresses
Primary practice location
4013 N Ridge Rd
Suite 110
Wichita, KS 67205-8857
Mailing address
4013 N Ridge Rd
Suite 110
Wichita, KS 67205-8857
Phone (316) 722-1333
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.44 of 100
- Quality
- 85.31
- Improvement activities
- 40
- Cost
- 80.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75605 | KS | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Oklahoma PC | Current | Accepting new patients | |
| Apogee Medical Group Oklahoma Inc | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients |
Locations
600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300
305 S 5th St
Enid, OK 73701
Phone (580) 233-6100
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
Interoperability endpoints
- jpearson525085@direct.integrisok.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1619235819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 N RIDGE RD",
"address_2": "SUITE 110",
"city": "WICHITA",
"state": "KS",
"postal_code": "672058857",
"telephone_number": "316-722-1333",
"fax_number": "316-722-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 N RIDGE RD",
"address_2": "SUITE 110",
"city": "WICHITA",
"state": "KS",
"postal_code": "672058857",
"telephone_number": "316-722-1333",
"fax_number": "316-722-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "JEANNE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KS",
"license": "53-75605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.