JESSICA D PICKENS (APRN-CNP) – Family Nurse Practitioner, NPI 1407257942

JESSICA D PICKENS (APRN-CNP) is a healthcare provider. based in Tishomingo, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. R0096230 (OK). The NPI Number for JESSICA D PICKENS (APRN-CNP) is 1407257942

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA D PICKENS (APRN-CNP)
NPI
1407257942
Phone
(580) 371-2343
Address
610 E 24TH ST
Enumeration Date
15 September 2014
Last Update Date
20 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803870509
Graduation Year
2014 (12 years ago)
PAC ID
6800118878
Group Practice PAC ID
4284537457
Professional Enrollment ID
I20141202000205
Address ID
OK734396562KI21XXXSTXX400
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 JESSICA D PICKENS (APRN-CNP)

  • 610 E 24TH ST

    TISHOMINGO, OK 734603245

    Phone: (580) 371-2343

    Fax: (580) 371-3614

    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 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Exact Sciences Corporation ($31).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-12-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141202000205INurse PractitionerOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73460)

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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: 4284537457View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Internal MedicineOK
Mental Health CounselorOK
Nurse PractitionerOK
Internal MedicineOK
Mental Health CounselorOK
Nurse PractitionerTX
Physician AssistantOK
Family PracticeOK

Reviews

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Frequently asked questions

What is the registry number for JESSICA D PICKENS (APRN-CNP)?
The registry entry for JESSICA D PICKENS (APRN-CNP) shows NPI 1407257942.
Should I treat JESSICA D PICKENS (APRN-CNP) as an active provider?
Patients and plans typically see JESSICA D PICKENS (APRN-CNP) as active in the national extract.
Which specialty label fits JESSICA D PICKENS (APRN-CNP)?
NPPES ties JESSICA D PICKENS (APRN-CNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JESSICA D PICKENS (APRN-CNP) tied to Tishomingo, Oklahoma?
If you are local to Tishomingo, Oklahoma, JESSICA D PICKENS (APRN-CNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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