Individual provider Active NPI

Jenny Scoville Walsh, M.D.

  • Family Medicine Physician
  • Grove, OK
National Provider Identifier
1861835142
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32095 Issued in OK
Practice address
1121 Neo Loop
Grove, OK 74344-6046
Phone
(918) 786-8448
Fax
(918) 786-9502
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32095 OK Primary

Addresses

Primary practice location

1121 Neo Loop
Grove, OK 74344-6046

Mailing address

1121 Neo Loop
Grove, OK 74344-6046
Phone (918) 786-8448

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181127001609 OK Practitioner - Family Practice 9032417431 Reassigns benefits to 1 organization
I20220318000129 TX Practitioner - Family Practice 9032417431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150

859 E Melton Dr
Sam Hider Health Center
Jay, OK 74346-0001
Phone (918) 253-4271

Hospital & facility affiliations

  • Good Shepherd Hospice, Inc. Hospice, Grove, OK, CCN 371574
  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32095OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jan 28, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
St. John Physicians, Inc CurrentSince Nov 26, 2018 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Nov 26, 2018 Accepting new patients
Cherokee Nation CurrentSince Jan 28, 2022 Accepting new patients
Caney Valley Medical Foundation Family Medicine Past Accepting new patients

Locations

3400 E Frank Phillips Blvd
Ste 501
Bartlesville, OK 74006
Phone (918) 331-2415

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

395200 W 2900 Rd
Ochelata, OK 74051
Phone (918) 535-6000

400 Wyandotte Ave
Ramona, OK 74061
Phone (918) 536-1024

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

821 Amohi Ln
Salina, OK 74365
Phone (918) 434-8500

301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400

471688 Highway 51
Stilwell, OK 74960

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

Dept 2269
Tulsa, OK 74182

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 9

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 3

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1861835142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NEO LOOP",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743446046",
            "telephone_number": "918-786-8448",
            "fax_number": "918-786-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NEO LOOP",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743446046",
            "telephone_number": "918-786-8448",
            "fax_number": "918-786-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JENNY",
        "middle_name": "SCOVILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "32095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.