JAQUITA Y GARDNER (APRN) – Adult Health Clinical Nurse Specialist, NPI 1134635469
Adult Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JAQUITA Y GARDNER (APRN)
East 48th Street, Stone Creek Farms, Tulsa, Tulsa County, Oklahoma, 74314, United States
TULSA, OK 741465830
Phone: (918) 749-8765
Fax: (918) 392-2155
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $321.
Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Hollister Incorporated ($137).
Total Amount
$321
General + Research + Ownership
Payments
4
Total payment records
General Amount
$321
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hollister Incorporated | $137 |
| Alexion Pharmaceuticals, Inc. | $106 |
| COLOPLAST CORP | $77 |
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: 2018-02-20
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 |
|---|---|---|---|---|
| I20180220001418 | I | Certified Clinical Nurse Specialist (Cns) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74146)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| Physician Assistant | OK | |
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| Nurse Practitioner | OK |
Reviews
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