Individual provider Active NPI

Jessica Ndidiamaka Oranika, MSN-FNP

  • Gerontology Nurse Practitioner
  • Tishomingo, OK
National Provider Identifier
1942857735
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1040542 Issued in TX
Practice address
1000 S Byrd St
Tishomingo, OK 73460-3265
Phone
(580) 371-2327
Fax
(580) 371-2127
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 214199 OK
Critical Care Medicine Nurse Practitioner 363LC0200X 209.019917 IL
Gerontology Nurse Practitioner 363LG0600X 1040542 TX Primary

Addresses

Primary practice location

1000 S Byrd St
Tishomingo, OK 73460-3265

Mailing address

1000 S Byrd St
Tishomingo, OK 73460-3265
Phone (580) 371-2327

Other practice location 1

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-4200

Other practice location 2

2911 Medical Arts St Ste 10
Austin, TX 78705-3302
Phone (866) 473-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, OK, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191014001899 IL Practitioner - Nurse Practitioner 0446581078
I20210908001726 TX Practitioner - Nurse Practitioner 0446581078 Reassigns benefits to 5 organizations
I20231004000425 OK Practitioner - Nurse Practitioner 0446581078 Reassigns benefits to 2 organizations
I20250523001017 KY Practitioner - Nurse Practitioner 0446581078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mercy Hospital Tishomingo Inc 4 clinicians
Dallas Pulmonary and Critical Care PA 186 clinicians
Iowa Physicians Clinic Medical Foundation 1,254 clinicians

Practice addresses (Care Compare)

1000 S Byrd St
Tishomingo, OK 73460-3265
Phone (580) 371-2327

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

360 Amsden Ave
Versailles, KY 40383-1851
Phone (214) 960-5681

6512 Virginia SQ
Arlington, TX 76017-4947
Phone (319) 824-5095

Hospital & facility affiliations

  • Mercy Hospital Tishomingo Inc Hospital, Tishomingo, OK, CCN 371304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.019917ILMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2021 Accepting new patients
Post Acute Specialists of Texas PA Nurse Practitioner CurrentSince Jun 1, 2023 Accepting new patients
Dallas Pulmonary & Critical Care PA CurrentSince Jun 10, 2024 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Mercy Hospital Tishomingo, Inc Current Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2021 Accepting new patients
Chess Medicine PLLC Gerontology CurrentSince May 27, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Decatur Memorial Hospital CurrentSince Sep 25, 2019 Accepting new patients
Decatur Memorial Hospital CurrentSince Sep 25, 2019 Accepting new patients
Van Buren County Hospital Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

6165 NW 86th St
Johnston, IA 50131
Phone (515) 252-2522

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

302 W Hay St
Ste 110
Decatur, IL 62526
Phone (217) 876-4200

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

989 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (502) 570-3727

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

100 Herrmann Dr
Del Rio, TX 78840
Phone (830) 775-7361

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

Interoperability endpoints

  • Direct secure messaging: joranika264366@uihcdirect.org

Organizations & group practices 15

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.

View all 15

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1942857735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BYRD ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603265",
            "telephone_number": "580-371-2327",
            "fax_number": "580-371-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BYRD ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603265",
            "telephone_number": "580-371-2327",
            "fax_number": "580-371-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Edward St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625264163",
            "country_code": "US",
            "telephone_number": "217-876-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2911 Medical Arts St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787053302",
            "country_code": "US",
            "telephone_number": "866-473-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORANIKA",
        "first_name": "JESSICA",
        "middle_name": "NDIDIAMAKA",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "214199",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "IL",
            "license": "209.019917",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1040542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

Verify at the official NPI Registry.