Active NPI
Jeneice Angela Miller, ARNP
- Nurse Practitioner
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0054197
- Practice address
- 3440 RC Luttrell Dr Ste 102
Norman, OK 73072-9007 - Phone
- (405) 307-2623
- Fax
- (053) 075-6194
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0054197 | OK | Primary |
| Family Nurse Practitioner | 363LF0000X | R0054197 | OK |
Addresses
Primary practice location
3440 RC Luttrell Dr Ste 102
Norman, OK 73072-9007
Mailing address
PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6630
Other names 1
- Ms. Jeneice Angela Davidson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000
3440 RC Luttrell Dr
Suite 102
Norman, OK 73072-9007
Phone (405) 307-2623
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0054197 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Norman Regional Providers Specialty Care | Current | Accepting new patients | |
| Oklahoma Sleep Associates Physician Services | Past | Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Denise L. Rable, M.D., P.C. | Past | Accepting new patients |
Locations
700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355
500 E Robinson St
Ste 2300
Norman, OK 73071
Phone (405) 329-4102
3440 Rc Luttrell Dr
Ste 102
Norman, OK 73072
Phone (405) 307-2623
500 E Robinson St
Ste 500
Norman, OK 73071
Phone (405) 329-5857
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
10900 Hefner Pointe Dr
Oklahoma City, OK 73120
Phone (405) 552-0400
10900 Hefner Pointe Dr
Ste 505
Oklahoma City, OK 73120
Phone (405) 552-0400
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
Interoperability endpoints
- jeneice.miller@nrh.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Surgery Physician
- Norman, OK
- NPI 1548513773
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Surgery Physician
- Norman, OK
- NPI 1093019069
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- Sleep Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1326456047
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1932270493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701330",
"telephone_number": "405-307-6630",
"fax_number": "405-307-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 RC LUTTRELL DR STE 102",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729007",
"telephone_number": "405-307-2623",
"fax_number": "053-075-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENEICE",
"middle_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0054197",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0054197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENEICE",
"last_name": "DAVIDSON",
"middle_name": "ANGELA",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.