Doretta Jenison, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

830 Oak Hill Rd
Choctaw, OK 73020-7510

Phone

(619) 886-0898

NPI assigned

Nov 12, 2019

Sex

Female

Sole proprietor

No

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

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Care Hospitalist Group PLLCGroup PAC ID 3779862446, 22 clinicians

Optimum Post Acute Care PLLCGroup PAC ID 5799162111, 18 clinicians

Midwest Hospitalist Group PLLCGroup PAC ID 9133465354, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

Merit-based Incentive Payment System (MIPS)

Final score

60.58 of 100Reported as group

Quality

72.72

Promoting interoperability

0

Improvement activities

30

Cost

63.63

Merit-based Incentive Payment System (MIPS)

Final score

69.13 of 100Reported as group

Quality

50.94

Improvement activities

30

Cost

71.99

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: djenison399978@direct-ehr-ssmhc.com

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.

• Midwest Hospitalist Group PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1376011478
  Medicare reassignment Care Compare group
• Optimum Care Hospitalist Group PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1306396577
  Medicare reassignment Care Compare group
• Optimum Post Acute Care PLLC

  • Hospitalist Physician
  • Edmond, OK
  • NPI 1225774227
  Medicare reassignment Care Compare group
• Optimum Pac PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1568352714
  Medicare reassignment NPD
• Optimum Family Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1871263459
  Medicare reassignment
• Optimum Primary Care PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1760030399
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SSM Health Care of Oklahoma, Inc

  • Ambulance
  • Midwest City, OK
  • NPI 1023603727

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  Care Compare affiliation

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1962047183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OAK HILL RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730207510",
            "telephone_number": "619-886-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK HILL RD",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730207510",
            "telephone_number": "619-886-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENISON",
        "first_name": "DORETTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hometown Primary Care, PLLC
• Ellisa Hudson, APRN
• Ico Primary Care, LLC
• Immediate Care of Oklahoma
• Elizabeth Jamison
• Loraina Isabel Jimenez
• Shawnnessy Jiwa, J.D.
• Torion Jones-Deberry
• Stacy Lynn Jones
• Odessa Keen, OTR/L

• Physician Assistant in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.