JAYNE DEANNE FORTENBERRY (CNP-FAMILY) – Family Nurse Practitioner, NPI 1679942585
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for JAYNE DEANNE FORTENBERRY (CNP-FAMILY)
356110 E 930 RD
STROUD, OK 740795184
Phone: (918) 968-9531
Fax: (918) 968-0113
Type: Mailing
5600 N MAY AVE STE 310
OKLAHOMA CITY, OK 731124291
Phone: (888) 731-8994
Fax: (833) 755-1861
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($32).
Total Amount
$32
General + Research + Ownership
Payments
1
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kestra Medical Technology Services, Inc. | $32 |
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: 2016-06-15
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 |
|---|---|---|---|---|
| I20160615000311 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 381 | 109 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 299 | 99 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 294 | 95 | $0 |
| 83036 | Hemoglobin a1c level | 223 | 81 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 155 | 89 | $0 |
Insurance plans in this area (ZIP 74079)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| Physician Assistant | OK | |
| Physical Medicine And Rehabilitation | AR | |
| Registered Dietitian Or Nutrition Professional | OK | |
| Physical Therapist In Private Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Family Practice | OK | |
| P O D I A T R Y | OK | |
| Nurse Practitioner | OK | |
| - | OK |
Reviews
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