Jordan Permaul, APRN CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

218976 Issued in OK

Practice address

1491 S Sunnylane Rd
Del City, OK 73115-3037

Phone

(405) 437-2240

Fax

(661) 231-3153

NPI assigned

Nov 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatric Wellness Aprn-CNP PLLCGroup PAC ID 0244665156, 11 clinicians

State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Psychiatric Wellness Aprn-CNP PLLC

  • Adult Mental Health Clinic/Center
  • Del City, OK
  • NPI 1285273920
  Medicare reassignment Care Compare group NPD
• State of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1588755532
  Medicare reassignment Care Compare group
• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD
• State of Oklahoma

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1578580916
  NPD

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1871250795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153037",
            "telephone_number": "405-437-2240",
            "fax_number": "661-231-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153037",
            "telephone_number": "405-437-2240",
            "fax_number": "661-231-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERMAUL",
        "first_name": "JORDAN",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "218976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taren Patterson
• Paulette Jobe LCSW
• Peace of Mind Pediatrics PLLC
• Janet Pennanen
• Emma K Perez, COTA/L
• Fontella Phillips-Reid, HOMEHEALTH, CNA
• Physicians Choice Dialysis of Midwest City LLC
• Tre Celeste Pickens
• Pinnacle Counseling Services
• Adam L Potorff, DDS

• Psychiatric/Mental Health Nurse Practitioner in Del City, OK
• Providers in Del City, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.