Individual provider Active NPI

Jason Vanhoose, APRN-CNP

  • Family Nurse Practitioner
  • Vinita, OK
National Provider Identifier
1932875788
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204798 Issued in OK
Practice address
803 N Foreman St
Vinita, OK 74301-1435
Phone
(918) 256-2261
Fax
(918) 256-2304
NPI assigned
Aug 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 204798 OK Primary

Addresses

Primary practice location

803 N Foreman St
Vinita, OK 74301-1435

Mailing address

16700 S 580 Rd
Fairland, OK 74343-2713
Phone (918) 533-2760

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
I20220506002009 OK Practitioner - Nurse Practitioner 2062899313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr.Mickey Tyrrell, M.D. PLLCGroup PAC ID 6204856552, 2 clinicians

Practice addresses (Care Compare)

803 N Foreman St
Vinita, OK 74301-1435

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Mickey Tyrrell, M.D. PLLC CurrentSince Nov 23, 2024 Accepting new patients

Locations

803 N Foreman St
Ste 102
Vinita, OK 74301
Phone (918) 256-2257

803 N Foreman St
Vinita, OK 74301
Phone (918) 256-2257

Organizations & group practices 1

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1932875788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16700 S 580 RD",
            "city": "FAIRLAND",
            "state": "OK",
            "postal_code": "743432713",
            "telephone_number": "918-533-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FOREMAN ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011435",
            "telephone_number": "918-256-2261",
            "fax_number": "918-256-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOSE",
        "first_name": "JASON",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "204798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

Verify at the official NPI Registry.