JENNEY Z QIN – Family Medicine Physician, NPI 1154687010
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for JENNEY Z QIN
13500 S TULSA DR
SUITE 200
OKLAHOMA CITY, OK 731709719
Phone: (405) 713-2696
Fax: (405) 713-2699
Type: Mailing
3000 N GRAND BLVD
OKLAHOMA CITY, OK 731071818
Phone: (405) 632-6688
Fax: (844) 689-9671
Type: Mailing
721 W BRITTON RD
OKLAHOMA CITY, OK 731142909
Phone: (405) 632-6688
Type: Location
1025 Straka Ter
Oklahoma City, OK 731392544
Phone: (405) 632-6688
Type: Location
11220 N Rockwell Ave
Oklahoma City, OK 731622725
Phone: (405) 632-6688
Type: Location
317 E Himes St
Norman, OK 730697810
Phone: (405) 632-6688
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: 2016-08-03
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 |
|---|---|---|---|---|
| I20160803001557 | I | Family Practice | 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 73170)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Family Practice | OK | |
| Certified Nurse Midwife (Cnm) | OK | |
| Family Practice | OK | |
| - | OK | |
| Internal Medicine | OK | |
| Nurse Practitioner | OK | |
| Mental Health Counselor | OK |
Reviews
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