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FRONTIER REGENERATION GROUP LLC
NPI 1003772765
Nurse Practitioner in Edmond, OK

Active since December 26, 2025
601 NW 198TH ST, EDMOND, OK 73012(216) 224-6402 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Frontier Regeneration Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRONTIER REGENERATION GROUP LLC (NPI 1003772765), doing business as Newdawn Mobile Wound Care, is a healthcare organization registered as a nurse practitioner in Edmond, Oklahoma and active in the NPI registry since December 2025. The organization lists Jordan Tisdale, Partner, as its authorized official.

NPPES Registry Identity

NPI1003772765
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFRONTIER REGENERATION GROUP LLC
Location Address601 NW 198TH STEdmond, OK 73012-1317
Mailing Address601 Nw 198th StEdmond, OK 73012-1317
Phone(216) 224-6402
Organization SubpartNo
Authorized OfficialJordan TisdalePartner · (216) 224-6402
Enumeration DateDecember 26, 2025
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1003772765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
601 NW 198TH ST, Edmond, OK 73012
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Other Names 1

Doing Business AsNewdawn Mobile Wound Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frontier Regeneration Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Frontier Regeneration Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Marena De Jesus, APRN
Nurse Practitioner
NPI 1942017959
14101 PARKWAY COMMONS DR
Oklahoma City, OK 73134
(405) 749-2700
✔ PECOS✔ Accepts Medicare17 mi
Debbie Perryman, APRN-CNP
Nurse Practitioner
NPI 1821812496
4050 W MEMORIAL RD FL 3
Oklahoma City, OK 73120
(405) 608-3800
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frontier Regeneration Group LLC's NPI number?

The NPI number for Frontier Regeneration Group LLC is 1003772765. It was assigned to this organization in the NPPES registry on December 26, 2025. The provider is doing business as NewDawn Mobile Wound Care.

Where is Frontier Regeneration Group LLC located?

Frontier Regeneration Group LLC is located at 601 NW 198th St, Edmond, OK 73012. The listed phone number is (216) 224-6402.

What is Frontier Regeneration Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Frontier Regeneration Group LLC enrolled in Medicare?

Yes. Frontier Regeneration Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frontier Regeneration Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Frontier Regeneration Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Frontier Regeneration Group LLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.