Individual provider Active NPI

Jacqueline O'Kane, FNP

  • Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1841354560
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008313 Issued in NC
Practice address
619 Jefferson St
Whiteville, NC 28472-3707
Phone
(910) 642-0331
NPI assigned
Dec 20, 2006
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008313 NC Primary

Addresses

Primary practice location

619 Jefferson St
Whiteville, NC 28472-3707

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 653-7000

Other practice location 2

14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 653-7000

Other practice location 3

36 McNeill Plz
Whiteville, NC 28472-8602
Phone (910) 640-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160317001248 NC Practitioner - Nurse Practitioner 7517928948 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.86 of 100Reported as group
Quality
97.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
86.13
Improvement activities
40
Cost
79.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008313NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Apr 26, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 26, 2016 Accepting new patients
Brunswick Physician Partners, PLLC CurrentSince Sep 15, 2019 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Columbus Regional Health Network Current Accepting new patients
Columbus Emergency Group LLC Nurse Practitioner CurrentSince Sep 19, 2016 Accepting new patients
Columbus Regional Health Network CurrentSince Mar 7, 2016 Accepting new patients
Scotland Regional Health Network CurrentSince Apr 26, 2016 Accepting new patients
Scotland Regional Health Network CurrentSince Apr 26, 2016 Accepting new patients
Atlantic Physician Services of Maryland, PC Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients
Atlantic Physician Services of Maryland, P.C. Nurse Practitioner Past Accepting new patients
Christiana Spine, PA Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1001 Blythe Blvd
Ste 200D
Charlotte, NC 28203
Phone (704) 373-1813

101 Hospital Dr
Columbus, NC 28722
Phone (828) 894-3311

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680

320 Jefferson St
Whiteville, NC 28472
Phone (910) 641-8600

36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jokane@crhn.cernerdirect.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1841354560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723707",
            "telephone_number": "910-642-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14508 James B White Hwy S",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638358",
            "country_code": "US",
            "telephone_number": "910-653-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14508 James B White Hwy S",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638358",
            "country_code": "US",
            "telephone_number": "910-653-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 McNeill Plz",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284728602",
            "country_code": "US",
            "telephone_number": "910-640-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KANE",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.