JESSYE SEFENU ANDOH (APRN/PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1588473292

JESSYE SEFENU ANDOH (APRN/PMHNP) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN/PMHNP. They hold a License No. 222778 (OK). The NPI Number for JESSYE SEFENU ANDOH (APRN/PMHNP) is 1588473292

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSYE SEFENU ANDOH (APRN/PMHNP)
NPI
1588473292
Phone
(405) 603-8450
Address
6613 N MERIDIAN AVE
Enumeration Date
7 January 2025
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056038450
Graduation Year
2024 (2 years ago)
PAC ID
3476047291
Group Practice PAC ID
1951297985
Professional Enrollment ID
I20251209004566
Address ID
OK731161423OK6613XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JESSYE SEFENU ANDOH (APRN/PMHNP)

  • 6613 N MERIDIAN AVE

    OKLAHOMA CITY, OK 731161423

    Phone: (405) 603-8450

    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)

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: 2025-12-09

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
I20251209004566INurse 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 73116)

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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: 1951297985View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JESSYE SEFENU ANDOH (APRN/PMHNP)?
JESSYE SEFENU ANDOH (APRN/PMHNP) — NPI 1588473292 — is the standard way to identify this listing.
Can I rely on JESSYE SEFENU ANDOH (APRN/PMHNP) being an active provider?
As of the registry snapshot, JESSYE SEFENU ANDOH (APRN/PMHNP) is marked active.
What is JESSYE SEFENU ANDOH (APRN/PMHNP)'s specialty?
The listing groups JESSYE SEFENU ANDOH (APRN/PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for JESSYE SEFENU ANDOH (APRN/PMHNP)?
JESSYE SEFENU ANDOH (APRN/PMHNP)'s geographic hint is Oklahoma City, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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