Individual provider Active NPI

Jessica A Wardworth

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1689369811
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
210120 Issued in OK
Practice address
2424 Springer Dr Ste 304
Norman, OK 73069-3966
Phone
(405) 906-2191
Fax
(405) 920-6420
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 210120 OK Primary

Addresses

Primary practice location

2424 Springer Dr Ste 304
Norman, OK 73069-3966

Mailing address

2424 Springer Dr Ste 102
Norman, OK 73069-3966
Phone (405) 216-3747

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
I20230522003332 OK Practitioner - Nurse Practitioner 0345605895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On-Site Care LLCGroup PAC ID 5294277158, 6 clinicians

Practice addresses (Care Compare)

2424 Springer Dr
Suite 304
Norman, OK 73069-3966
Phone (405) 906-2191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210120OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Care LLC Family CurrentSince Apr 1, 2025 Accepting new patients
Ennoble HC NJ PC CurrentSince Sep 1, 2024 Accepting new patients
Physician Housecalls LLC CurrentSince May 1, 2023 Accepting new patients
Primary Care Providers, LLC Past Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223

2424 Springer Dr
Ste 102
Norman, OK 73069
Phone (405) 216-3747

2424 Springer Dr
Ste 304
Norman, OK 73069
Phone (405) 906-2191

2424 Springer Dr
Norman, OK 73069
Phone (405) 906-2191

101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.wardworth.1@32622.direct.athenahealth.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1689369811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SPRINGER DR STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693966",
            "telephone_number": "405-216-3747",
            "fax_number": "405-339-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SPRINGER DR STE 304",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693966",
            "telephone_number": "405-906-2191",
            "fax_number": "405-920-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDWORTH",
        "first_name": "JESSICA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "210120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.