Individual provider Active NPI

Jewelle Young, APRN, FNP-C

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1891354973
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111904 Issued in OK
Practice address
1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425
Phone
(405) 848-0026
Fax
(405) 497-6789
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111904 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425

Mailing address

1211 N Shartel Ave Ste 300
Oklahoma City, OK 73103-2425
Phone (405) 848-0026

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
I20191004002459 OK Practitioner - Nurse Practitioner 6305177304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Nursing Center of Okc, LLCGroup PAC ID 9032471131, 12 clinicians

Practice addresses (Care Compare)

1211 N Shartel Ave
Suite 606
Oklahoma City, OK 73103-2425
Phone (405) 848-0026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111904OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Nursing Center of Oklahoma City, LLC CurrentSince Mar 15, 2023 Accepting new patients
Community Nursing Center of Okc, LLC Family CurrentSince Mar 15, 2023 Accepting new patients
Community Nursing Center of Oklahoma City, LLC Family Current Accepting new patients

Locations

329 White St
Norman, OK 73069
Phone (405) 848-0026

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103
Phone (405) 367-7824

1211 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 235-8008

1822 E 15th St
Tulsa, OK 74104
Phone (405) 848-0026

Organizations & group practices 3

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1891354973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-848-0026",
            "fax_number": "405-497-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-848-0026",
            "fax_number": "405-497-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEWELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "111904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.