Jayne Deanne Fortenberry, CNP-FAMILY
Individual provider Active NPI Family Nurse Practitioner · Oklahoma City, OK
NPI 1679942585 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1679942585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71829 (OK)
- Practice address
- 5600 N May Ave Ste 310
Oklahoma City, OK 73112-4291 - Phone
- (888) 731-8994
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sac and Fox Nation
Practice addresses (Care Compare)
356110 E 930 Rd
Stroud, OK 74079-5184
Phone 91896895313035
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Shawnee
- Hillcrest Hospital Cushing
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615000311 | OK | Practitioner - Nurse Practitioner | 2365733763 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac & Fox Nation | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Sac & Fox Nation | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Integrative Womens Care PC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
31870 E State Highway 51
Coweta, OK 74429
Phone (918) 279-3200
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
356110 E 930 Rd
Stroud, OK 74079
Phone (918) 968-9531
Dept 1467
Tulsa, OK 74182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71829 | OK | Yes |
Addresses
Primary practice location
5600 N May Ave Ste 310
Oklahoma City, OK 73112-4291
Mailing address
5600 N May Ave Ste 310
Oklahoma City, OK 73112-4291
Phone (888) 731-8994
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200622320A | Medicaid | OK |
Other providers in Oklahoma City, OK
- Theron Forshee
- Elizabeth Ramsay-Thompson Forsythe
- Roy Louis Forsythe
- Latrina Fort
- Michael Vincent Forte
- Forth Star Counseling LLC
- Fortis Therapy LLC
- Fortress Health LLC
- Katy A Fortune-Reagan
- Abigail Nicole Fortune
All providers in Oklahoma City, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.