JENNE DEANN GOUGH (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639733884
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for JENNE DEANN GOUGH (APRN, PMHNP-BC)
Lone Wolf, Kiowa County, Oklahoma, 73655, United States
LONE WOLF, OK 736550012
Phone: (580) 530-0878
Type: Mailing
111, North Hudson Street, Altus, Jackson County, Oklahoma, 73521, United States
ALTUS, OK 735213811
Phone: (580) 379-4085
Type: Location
216 S Main St
Hobart, OK 736513628
Phone: (580) 726-2452
Fax: (580) 726-2483
Type: Location
13523 N 2060 RD
LONE WOLF, OK 736555513
Phone: (580) 530-0878
Type: Mailing
216 S MAIN ST
HOBART, OK 736513628
Phone: (580) 726-2452
Fax: (580) 726-2483
Type: Location
1105 SW 30TH CT
MOORE, OK 731602887
Phone: (405) 378-2727
Type: Mailing
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: 2026-02-20
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 |
|---|---|---|---|---|
| I20260220000819 | I | Nurse Practitioner | 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 73655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| Nurse Practitioner | OK | |
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Marriage And Family Therapist | OK | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK |
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