Individual provider Active NPI

Jennifer Lynn Roberts, ARNP

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1922258235
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0808013 Issued in OK
Practice address
2117 N Kelly Ave
Edmond, OK 73003-3908
Phone
(405) 726-2701
Fax
(405) 726-2702
NPI assigned
Sep 23, 2008
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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 F0808013 OK Primary

Addresses

Primary practice location

2117 N Kelly Ave
Edmond, OK 73003-3908

Mailing address

2117 N Kelly Ave
Edmond, OK 73003-3908
Phone (405) 726-2701

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
I20100504000892 OK Practitioner - Nurse Practitioner 1456488360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians
Psychiatric Health CorporationGroup PAC ID 9335120807, 2 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

2117 N Kelly Ave
Edmond, OK 73003-3908
Phone (405) 726-2701

3224 SW 119TH St
Oklahoma City, OK 73170-4548
Phone (405) 759-3880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0808013OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC CurrentSince Mar 1, 2017 Accepting new patients
Psychiatric Health Corporation CurrentSince Jan 1, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2117 N Kelly Ave
Edmond, OK 73003
Phone (405) 726-2701

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

3224 SW 119th St
Oklahoma City, OK 73170

9204 N May Ave
Oklahoma City, OK 73120
Phone (405) 840-3488

Interoperability endpoints

  • Direct secure messaging: jenniferroberts@okss.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1922258235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033908",
            "telephone_number": "405-726-2701",
            "fax_number": "405-726-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033908",
            "telephone_number": "405-726-2701",
            "fax_number": "405-726-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F0808013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.