Individual provider Active NPI

Jenifer Stockton, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1972047082
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
94562 Issued in OK
Practice address
3366 NW Expressway
Building D Suite 660
Oklahoma City, OK 73112-4462
Phone
(405) 947-3345
NPI assigned
Dec 8, 2016
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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 94562 OK Primary

Addresses

Primary practice location

3366 NW Expressway
Building D Suite 660
Oklahoma City, OK 73112-4462

Mailing address

3366 NW Expressway
Building D Suite 660
Oklahoma City, OK 73112-4462
Phone (405) 947-3345

Other names 1

  • Jenifer Dawn Thompson Former name

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
I20170614002815 OK Practitioner - Nurse Practitioner 8123396173 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94562OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Paradox Inc CurrentSince Jan 23, 2024 Accepting new patients
William W Cook MD P C CurrentSince Apr 1, 2017 Accepting new patients

Locations

3366 NW Expressway St
Ste 660
Oklahoma City, OK 73112
Phone (405) 947-3345

3524 NW 56th St
Oklahoma City, OK 73112
Phone (405) 606-6700

Interoperability endpoints

  • Direct secure messaging: jstockton11342@direct.integrisok.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1972047082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "BUILDING D SUITE 660",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-947-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY",
            "address_2": "BUILDING D SUITE 660",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124462",
            "telephone_number": "405-947-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "JENIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "94562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "THOMPSON",
            "middle_name": "DAWN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.