JODI JENISTA (APRN-CNP) – Family Nurse Practitioner, NPI 1104205186

JODI JENISTA (APRN-CNP) is a healthcare provider. based in Midwest city, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 89504 (OK). The NPI Number for JODI JENISTA (APRN-CNP) is 1104205186

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JODI JENISTA (APRN-CNP)
NPI
1104205186
Phone
(405) 769-3301
Address
PO BOX 30589
Enumeration Date
24 May 2015
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2062428211
Graduation Year
2014 (12 years ago)
PAC ID
6800107301
Group Practice PAC ID
2163641598
Professional Enrollment ID
I20210115002443
Address ID
WA981663071BU15811SWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JODI JENISTA (APRN-CNP)

  • PO BOX 30589

    MIDWEST CITY, OK 731403589

    Phone: (405) 769-3301

    Type: Mailing

  • 130 N BROADWAY AVE STE 300

    SHAWNEE, OK 748016939

    Phone: (405) 395-0399

    Fax: (405) 395-0330

    Type: Location

  • 6 EARLY DAWN DR

    EDMOND, OK 730347018

    Phone: (405) 255-9146

    Type: Mailing

  • 2925 ASTORIA WAY

    EDMOND, OK 730345997

    Phone: (405) 254-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($156).

Total Amount

$284

General + Research + Ownership

Payments

13

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150625000639INurse PractitionerOKTBD
I20210115002443INurse PractitionerWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90833Psychotherapy with evaluation and management visit, 30 minutes8213$0
99214Established patient office or other outpatient visit, 30-39 minutes7913$0
View full utilization report →

Insurance plans in this area (ZIP 73140)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163641598View full group profile
NameSpecialtyState
Marriage And Family TherapistWA
Mental Health CounselorWA
Nurse PractitionerMA
Marriage And Family TherapistWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Marriage And Family TherapistWA
Clinical Social WorkerLA
Mental Health CounselorFL

Reviews

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Frequently asked questions

What NPI should I save for JODI JENISTA (APRN-CNP)?
Save NPI 1104205186 if you need a stable reference for JODI JENISTA (APRN-CNP).
Does this profile mean JODI JENISTA (APRN-CNP) is currently active?
Yes — JODI JENISTA (APRN-CNP) appears active in the national provider directory.
Can you summarize JODI JENISTA (APRN-CNP)'s specialty in plain language?
Clinically, the directory lists JODI JENISTA (APRN-CNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JODI JENISTA (APRN-CNP)?
The page summarizes Midwest City, Oklahoma for JODI JENISTA (APRN-CNP); expand the address list for detail.
What if Midwest City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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