JARED LEVON ROBERTSON (APRN) – Family Nurse Practitioner, NPI 1871069153
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 JARED LEVON ROBERTSON (APRN)
2249 Boren Blvd
Seminole, OK 748681927
Phone: (405) 584-8888
Fax: (405) 303-6099
Type: Location
Logan County Hospital, 211, Cherry Avenue, Oakley, Logan County, Kansas, 67748, United States
OAKLEY, KS 677481218
Phone: (785) 672-3211
Fax: (785) 672-8184
Type: Mailing
2646 HIGHWAY 9 WEST
SEMINOLE, OK 748686652
Phone: (405) 584-8888
Fax: (405) 303-6099
Type: Mailing
2646 HIGHWAY 9 W
SEMINOLE, OK 748686652
Phone: (405) 584-8888
Fax: (405) 303-6099
Type: Mailing
2249 BOREN BLVD
SEMINOLE, OK 748681927
Phone: (405) 584-8888
Fax: (833) 641-2432
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 $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $21 |
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: 2019-08-08
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 |
|---|---|---|---|---|
| I20190808002432 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 297 | 34 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 158 | 77 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 151 | 151 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 103 | 86 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 84 | 43 | $0 |
Insurance plans in this area (ZIP 74868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK |
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