MRS. JENNIFER MARIE FAY DAMITSIAN (NP) – Family Nurse Practitioner, NPI 1609939255

MRS. JENNIFER MARIE FAY DAMITSIAN (NP) is a healthcare provider. based in Edmond, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN273719 (MA). The NPI Number for MRS. JENNIFER MARIE FAY DAMITSIAN (NP) is 1609939255

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER MARIE FAY DAMITSIAN (NP)
NPI
1609939255
Phone
(405) 844-4978
Address
1701 RENAISSANCE BLVD
Enumeration Date
18 December 2006
Last Update Date
30 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052732270
Graduation Year
2008 (18 years ago)
PAC ID
7113193335
Group Practice PAC ID
2062638661
Professional Enrollment ID
I20131203001781
Address ID
OK748041743SH1102XMACA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. JENNIFER MARIE FAY DAMITSIAN (NP)

  • 1701 RENAISSANCE BLVD

    STE 110

    EDMOND, OK 730133084

    Phone: (405) 844-4978

    Fax: (405) 844-0562

    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: 2013-12-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131203001781INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making129126$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7977$0
99284Emergency department visit with moderate level of medical decision making4542$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

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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: 2062638661View full group profile
NameSpecialtyState
Emergency MedicineOK
Nurse PractitionerOK
Emergency MedicineOK
Physician AssistantCA
Emergency MedicineOK
Emergency Medicine, Family PracticeOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK

Reviews

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Frequently asked questions

How do I look up MRS. JENNIFER MARIE FAY DAMITSIAN (NP) by NPI?
Use NPI 1609939255 when you need to reference MRS. JENNIFER MARIE FAY DAMITSIAN (NP) in forms, claims, or directories.
Does this profile mean MRS. JENNIFER MARIE FAY DAMITSIAN (NP) is currently active?
Yes — MRS. JENNIFER MARIE FAY DAMITSIAN (NP) appears active in the national provider directory.
What does MRS. JENNIFER MARIE FAY DAMITSIAN (NP) treat or focus on?
Patients typically see MRS. JENNIFER MARIE FAY DAMITSIAN (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. JENNIFER MARIE FAY DAMITSIAN (NP)?
The page summarizes Edmond, Oklahoma for MRS. JENNIFER MARIE FAY DAMITSIAN (NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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