NPIMap

Individual provider Active NPI

Jennifer Danielle Sims, NP-C

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1730720723
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09191415 Issued in OK
Practice address
2611 Crossroads Dr
Ardmore, OK 73401-2574
Phone
(580) 223-8614
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 F09191415 OK Primary

Addresses

Primary practice location

2611 Crossroads Dr
Ardmore, OK 73401-2574

Mailing address

PO Box 637
Ardmore, OK 73402-0637
Phone (580) 223-8614

Other practice location 1

800 W Highway 82
Gainesville, TX 76240-2524
Phone (940) 301-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Ardmore Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200211000839 OK Practitioner - Nurse Practitioner 0042646093 Reassigns benefits to 1 organization
I20200721004393 TX Practitioner - Nurse Practitioner 0042646093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oklahoma Kidney Center IncGroup PAC ID 7416047097, 3 clinicians

Practice addresses (Care Compare)

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

2611 Crossroads Dr
Ardmore, OK 73401-2574
Phone (580) 223-8614

800 W Hwy 82
Gainesville, TX 76240-2524
Phone (580) 223-8614

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09191415OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Feb 23, 2022 Accepting new patients
Southern Oklahoma Kidney Center Inc CurrentSince Dec 14, 2019 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Feb 23, 2022 Accepting new patients
Absolute Urgent Care Inc Family PastSince Oct 6, 2019 Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

2611 Crossroads Dr
Ardmore, OK 73401
Phone (580) 223-8614

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

800 W Highway 82
Gainesville, TX 76240
Phone (580) 223-8614

Interoperability endpoints

  • Direct secure messaging: jennifer.sims@direct.davitaphysiciansolutions.com
  • Direct secure messaging: jsims40971@direct.chickasawnationhealth.net

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 10

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1730720723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734020637",
            "telephone_number": "580-223-8614",
            "fax_number": "580-223-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 CROSSROADS DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012574",
            "telephone_number": "580-223-8614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Highway 82",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402524",
            "country_code": "US",
            "telephone_number": "940-301-5000",
            "fax_number": "940-612-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JENNIFER",
        "middle_name": "DANIELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F09191415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ardmore",
            "affiliation": "Y",
            "endpointDescription": "records exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ardmore",
            "address_1": "2611 Crossroads Dr",
            "city": "Ardmore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "734012574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.