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DR. JENNIFER K. NELSON M.D.
NPI 1013939479
Obstetrics & Gynecology in Oklahoma City, OK

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
81.55/100
CMS Quality Rating
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120(405) 936-1000(405) 936-1001 Get Directions Write a Review

NPPES record last updated: June 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jennifer K. Nelson M.d. NPPES

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

DR. JENNIFER K. NELSON M.D. (NPI 1013939479) is an individual obstetrics & gynecology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (15738) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of University Of Oklahoma College Of Medicine (1985).

NPPES Registry Identity

NPI1013939479
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JENNIFER K. NELSONCredential: M.D.
Location Address11200 N PORTLAND AVEOklahoma City, OK 73120-5045
Mailing Address11200 N Portland Ave, 2nd FlOklahoma City, OK 73120-5045 · (405) 936-1000 · Fax (405) 936-1001
Phone(405) 936-1000
Fax(405) 936-1001
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1985
Enumeration DateJuly 24, 2006
Last NPPES UpdateJune 28, 2011
✔ NPI 1013939479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OK · 15738
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11200 N PORTLAND AVE, Oklahoma City, OK 73120
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Other Identifiers 3

Medicare UPIN160015242OK
Medicaid100137390BOK
Medicare PIN244509415

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer K. Nelson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800842097
PECOS Enrollment IDI20050404000367
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oklahoma City Gynecology And Obstetrics, LLC
Same address
Obstetrics & Gynecology
11200 N PORTLAND AVE
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 24 clinicians in this Medicare group
NPI 1114987633 (405) 936-1000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
213 services213 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Lakeside Women's Hospital, A Member Of Integris He

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370199
Location11200 North Portland AvenueOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.14
Promoting Interoperability100
Improvement Activities40
Cost46.37

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
89%971 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
90%1,405 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%3,619 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
84%443 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%183 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
21%2,305 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%2,215 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,669 patients
96%1,669 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%2,305 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%2,305 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
73%2,305 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA JEAN HENDRIX RNC-NICU-IBCLC
Registered Nurse (Lactation Consultant)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1500
DR. MARGARET A. HALL M.D.
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1000
DR. DONNA SERES M.D.
Obstetrics & Gynecology
11200 N PORTLAND AVE, 2ND FL
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1000
OKLAHOMA CITY GYNECOLOGY AND OBSTETRICS, LLC
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1000
DANIEL NELSON FONG MD
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1092
BRETT MATTHEW SMITH MD
Anesthesiology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1500
ROBIN T BAYLESS MD
Anesthesiology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 272-9644
MELINDA SUE OLDHAM RNFA
Registered Nurse (Registered Nurse First Assistant)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1500

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 Jennifer Nelson's NPI number?

The NPI number for Jennifer Nelson is 1013939479. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Jennifer Nelson located?

Jennifer Nelson practices at 11200 N Portland Ave, Oklahoma City, OK 73120. The listed phone number is (405) 936-1000.

What is Jennifer Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jennifer Nelson enrolled in Medicare?

Yes. Jennifer Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Nelson reassigns Medicare benefits to Oklahoma City Gynecology And Obstetrics, LLC (Oklahoma City, OK). The 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 Jennifer Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Nelson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Jennifer Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Nelson affiliated with any hospitals?

According to CMS data, Jennifer Nelson is affiliated with Mercy Hospital Oklahoma City, Inc, Integris Baptist Medical Center, Inc, O U Medical Center, Integris Southwest Medical Center and Lakeside Women's Hospital, A Member Of Integris He.

When was this NPI record last updated?

The NPPES record for Jennifer Nelson was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.