JENNIFER DANIELLE GOUGE – Nurse Practitioner, NPI 1023590676
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for JENNIFER DANIELLE GOUGE
1001 E 18th St
Grove, OK 743442907
Phone: (918) 786-2243
Type: Location
1001, East 18th Street, Manchester, Richmond, Richmond City, Virginia, 23224, United States
GROVE, OK 743442907
Phone: (918) 786-2243
Type: Location
2036 S MILLER LN
CATOOSA, OK 740151520
Phone: (918) 739-4552
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181205002656 | I | Nurse Practitioner | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 58 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 35 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 30 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 32 | 30 | $0 |
Insurance plans in this area (ZIP 74344)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine | OK | |
| Hospitalist, Internal Medicine, Internal Medicine | TX | |
| Nurse Practitioner | OK | |
| - | KS | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK |
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