Individual provider Active NPI

Jeana Kelly Fowler, RN/ADM

  • Home Health Registered Nurse
  • Pawhuska, OK
National Provider Identifier
1861403271
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
D6079682 Issued in OK
Practice address
1449 W Main
Pawhuska, OK 74056
Phone
(918) 287-5645
Fax
(918) 287-5572
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X D6079682 OK
Home Health Registered Nurse 163WH0200X D6079682 OK Primary

Addresses

Primary practice location

1449 W Main
Pawhuska, OK 74056

Mailing address

3329 Wooten Rd
Burbank, OK 74633
Phone (918) 287-7279

Other names 1

  • Jeana Kelly Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
D6079682OKMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Osage Home Health Past Accepting new patients
Osage Nation Enterprises, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861403271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 WOOTEN RD",
            "city": "BURBANK",
            "state": "OK",
            "postal_code": "74633",
            "telephone_number": "918-287-7279",
            "fax_number": "918-287-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 W MAIN",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "74056",
            "telephone_number": "918-287-5645",
            "fax_number": "918-287-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JEANA",
        "middle_name": "KELLY",
        "credential": "RN/ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OK",
            "license": "D6079682",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "D6079682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANA",
            "last_name": "SMITH",
            "middle_name": "KELLY",
            "credential": "RN/DON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pawhuska, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.