Individual provider Active NPI

Jeanne Lynn Pearson, APRN

  • Acute Care Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1619235819
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53-75605 Issued in KS
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

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150311000928 OK Practitioner - Nurse Practitioner 4486802139 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.44 of 100Reported as group
Quality
85.31
Improvement activities
40
Cost
80.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-75605KSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC CurrentSince Oct 21, 2019 Accepting new patients
Apogee Medical Group Oklahoma Inc CurrentSince Feb 25, 2015 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Feb 24, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Apr 3, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.