Individual provider Active NPI

Jana L Dake, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1861739237
Registry record updated Jan 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2189 Issued in OK
Practice address
10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone
(405) 470-1500
Fax
(405) 603-8109
NPI assigned
Jan 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2189 OK Primary

Addresses

Primary practice location

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537

Mailing address

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

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
I20130307000242 OK Practitioner - Physician Assistant 4385899863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Practice addresses (Care Compare)

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

2109 S Santa Fe Ave
Moore, OK 73160-2807
Phone (405) 213-0256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2189OKMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jana.dakepac.p10@direct.nextcare.nextgenshare.com
  • Direct secure messaging: jana.dakepac.p8@direct.nextcare.nextgenshare.com

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": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357344000000",
    "number": "1861739237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624537",
            "telephone_number": "405-470-1500",
            "fax_number": "405-603-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624537",
            "telephone_number": "405-470-1500",
            "fax_number": "405-603-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKE",
        "first_name": "JANA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-05",
        "last_updated": "2013-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.