NPIMap

Individual provider Active NPI

Jennifer Carlene Birkenbuel, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1972683761
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1238 Issued in OK
Practice address
5252 N Meridian Ave
#105
Oklahoma City, OK 73112-2178
Phone
(405) 946-3373
Fax
(405) 949-2387
NPI assigned
Oct 16, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1238 OK Primary

Addresses

Primary practice location

5252 N Meridian Ave
#105
Oklahoma City, OK 73112-2178

Mailing address

Premise Health
109 NE 40TH St
Oklahoma City, OK 73105
Phone (405) 438-0206

Other practice location 1

7521 SE 15th St
Midwest City, OK 73110-5425
Phone (405) 453-8004

Other identifiers 1

IdentifierTypeStateIssuer
200015920AMedicaidOK

Other names 1

  • Jennifer Carlene Stephens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000022 OK Practitioner - Physician Assistant 1355394081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Oklahoma, LLCGroup PAC ID 1355746769, 31 clinicians

Practice addresses (Care Compare)

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

7521 SE 15TH St
Midwest City, OK 73110-5425
Phone (405) 453-8004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1238OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health LLC CurrentSince Apr 6, 2025 Accepting new patients
Baha Al Deen Abuesheh MD PC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Premise Health of Oklahoma Medical PC PastSince Jun 18, 2023 Accepting new patients

Locations

109 NE 40th St
Oklahoma City, OK 73105
Phone (405) 438-0206

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1972683761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PREMISE HEALTH",
            "address_2": "109 NE 40TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73105",
            "telephone_number": "405-438-0206",
            "fax_number": "405-438-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 N MERIDIAN AVE",
            "address_2": "#105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122178",
            "telephone_number": "405-946-3373",
            "fax_number": "405-949-2387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7521 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731105425",
            "country_code": "US",
            "telephone_number": "405-453-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRKENBUEL",
        "first_name": "JENNIFER",
        "middle_name": "CARLENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200015920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STEPHENS",
            "middle_name": "CARLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.