Jerri L Boatner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9212 Issued in OK

Practice address

16820 State Highway 9 E
Eufaula, OK 74432-5220

Phone

(918) 452-3335

Fax

(918) 452-3939

NPI assigned

May 11, 2012

Last updated

Dec 8, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Oklahoma Family Medical Center IncGroup PAC ID 9931189685, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Oklahoma Family Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Konawa, OK
  • NPI 1831291293
  Medicare reassignment Care Compare group
• Central Oklahoma Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ada, OK
  • NPI 1770399008
  NPD
• Central Oklahoma Family Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ada, OK
  • NPI 1386380178
  NPD
• Oklahoma Families First Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seminole, OK
  • NPI 1760584635
  NPD (past)
• Oklahoma Families First Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seminole, OK
  • NPI 1861577280
  NPD (past)

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1669731568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W WASHINGTON ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748732832",
            "telephone_number": "405-432-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16820 STATE HIGHWAY 9 E",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744325220",
            "telephone_number": "918-452-3335",
            "fax_number": "918-452-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Konawa",
            "state": "OK",
            "postal_code": "748491415",
            "country_code": "US",
            "telephone_number": "580-925-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOATNER",
        "first_name": "JERRI",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "9212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Dale Berry
• Kyla Beshears, PTA
• BHC (Epic Medical Center)
• BHC, LLC
• Laura Marie Black-Wicks, DO
• Body in Motion Chiropractic and Rehab PLLC
• Shelly D Boland, LMSW
• Boomer Solutions LLC (Boomer Solutions)
• Kevin G. Bradley, CH
• Charity Brady, PT

• Clinical Social Worker in Eufaula, OK
• Providers in Eufaula, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.