Jennifer Sparks, FNP-CNP
Individual provider Active NPI Family Nurse Practitioner · Woodward, OK
NPI 1780041384 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1780041384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 205506 (OK)
- Practice address
- 1611 Main St Ste 102
Woodward, OK 73801-3064 - Phone
- (580) 254-8652
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaver County Memorial Hospital
Practice addresses (Care Compare)
718 Ave a
Beaver, OK 73932-3101
Phone (580) 625-3477
Hospital & facility affiliations
- Carter Healthcare of Central Oklahoma, LLC
- Integris Health Woodward Hospital
- Beaver County Memorial Hospital
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 |
|---|---|---|---|---|
| I20220118001152 | OK | Practitioner - Nurse Practitioner | 1153713417 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 0071514 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver County Memorial Hospital | Current |
Accepting new patients | |
| Integris Ambulatory Care Corporation | Current |
Accepting new patients | |
| Beaver County Memorial Hospital | Current |
Accepting new patients | |
| Integris Health Woodward Hospital Inc | Past | Accepting new patients | |
| Beaver County Memorial Hospital | Past | Accepting new patients |
Locations
718 Avenue A
Beaver, OK 73932
Phone (580) 625-3477
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
Interoperability endpoints
- jsparks97541@direct-ehr-ssmhc.com
- jsparks546397@direct.integrisok.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 205506 | OK | Yes |
| Registered Nurse | 163W00000X | R 0071514 | OK |
Addresses
Primary practice location
1611 Main St Ste 102
Woodward, OK 73801-3064
Mailing address
PO Box 1213
Laverne, OK 73848-1213
Phone (580) 254-5322
Other providers in Woodward, OK
- Shelly R Smith
- Shenna Smith
- Kimberlee Jo Snider
- Ambrosio A Solano
- Sooner Hearing AIDS, LLC
- Speak Life Therapy LLC
- Janina Spooner
- Erin Elizabeth Stafford
- Jennifer Wade Stafford
- Jessica Ann Staggs
All providers in Woodward, 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 Aug 4, 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.