JEFFREY H OWEN (APRN-BC) – Family Nurse Practitioner, NPI 1104010222
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for JEFFREY H OWEN (APRN-BC)
P.O. BOX 892663
OKLAHOMA CITY, OK 731892663
Phone: (405) 243-6269
Type: Mailing
11212 S LINN AVE
OKLAHOMA CITY, OK 731702610
Phone: (405) 243-6269
Fax: (405) 446-8700
Type: Mailing
11212, South Linn Avenue, Oklahoma City, Cleveland County, Oklahoma, 73170, United States
OKLAHOMA CITY, OK 731702610
Phone: (405) 243-6269
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: 2025-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
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 |
|---|---|---|---|---|
| I20241126000961 | I | Nurse Practitioner | MN | TBD |
| I20250626001055 | I | Nurse Practitioner | NE | TBD |
| I20250626002088 | I | Nurse Practitioner | TN | TBD |
| I20250626003379 | I | Nurse Practitioner | CO | TBD |
| I20250626003814 | I | Nurse Practitioner | AR | TBD |
| I20250627001726 | I | Nurse Practitioner | IL | TBD |
| I20250627001922 | I | Nurse Practitioner | WI | TBD |
| I20250630004017 | I | Nurse Practitioner | AZ | TBD |
| I20250701004604 | I | Nurse Practitioner | UT | TBD |
| I20250708002292 | I | Nurse Practitioner | OH | TBD |
| I20250710000390 | I | Nurse Practitioner | KS | TBD |
| I20250710000543 | I | Nurse Practitioner | MO | TBD |
| I20250814000327 | I | Nurse Practitioner | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73189)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nephrology, Neurology, Sleep Medicine, Sleep Medicine, Neurology | MA | |
| Nurse Practitioner | CA | |
| Sleep Medicine, Internal Medicine, Sleep Medicine, Pulmonary Disease, Sleep Medicine, Pulmonary Disease | CO |
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