Marena De Jesus, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

219385 Issued in OK

Practice address

14101 Parkway Commons Dr
Oklahoma City, OK 73134-6012

Phone

(405) 749-2700

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

Yes

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Wound Care LLCGroup PAC ID 0143674465, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dynamic Wound Care LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1598541427
  Medicare reassignment Care Compare group NPD
• Allied Woundcare Center LLC

  dba Allied Woundcare Center

  • Medical Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1750167383
  Medicare reassignment
• Frontier Regeneration Group LLC

  dba NewDawn Mobile Wound Care

  • Nurse Practitioner
  • Edmond, OK
  • NPI 1003772765
  Medicare reassignment
• Dynamic Physician Group LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1033077078
  NPD (past)
• Verdure Health Services

  • Family Medicine Physician
  • Irving, TX
  • NPI 1801495940
  NPD (past)

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1942017959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 EXTER AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997564",
            "telephone_number": "321-276-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 PARKWAY COMMONS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346012",
            "telephone_number": "405-749-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "MARENA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "219385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto J De Armendi, MD
• Mauricio Jose De Castro Pretelt, MD
• De Foundation Health Inc
• Casey Foster De Graaf, NP-C
• Emily R. De Hoog, MD
• Brenda De la Cruz Goldman, OTR/L
• Teresita De la Cruz
• Scott M De la Garza, MD
• Brandon De Jesus De la Torre
• Irene De la Torre

• Gerontology Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Gerontology Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.