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JACK RYAN NORGREN DO
NPI 1437787553
Family Medicine in Ada, OK

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
1921 STONECIPHER DR, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2024, Sep 21, 2022, Sep 14, 2022 and 1 more (4 updates tracked since 2020).

About Jack Ryan Norgren Do NPPES

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

JACK RYAN NORGREN DO (NPI 1437787553) is an individual family medicine provider in Ada, Oklahoma, licensed in Oklahoma (7797) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Big Rapids Hospital, and maintains a secondary practice location in White Cloud.

NPPES Registry Identity

NPI1437787553
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK RYAN NORGRENCredential: DO
Location Address1921 STONECIPHER DRAda, OK 74820-3439
Mailing Address1035 E Wilcox AveWhite Cloud, MI 49349-8794 · (231) 689-5943 · Fax (231) 689-1590
Phone(580) 436-3980
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1437787553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 7797
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1921 STONECIPHER DR, Ada, OK 74820
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Secondary Practice Location 1

Location 11035 E Wilcox AveWhite Cloud, MI 49349-8794 · Phone (231) 689-5943 · Fax (231) 689-1590

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Ryan Norgren Do 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 ID7719358811
PECOS Enrollment IDI20230128000128, I20240910000238
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.

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TRAVIS L TEEL PA
Physician Assistant
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
DR. OLIVIA DANIELLE REED D.O.
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4570
LAURA COLEEN BYOUS-SCHAEFER APRN-CNM
Midwife
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
JOLENE JESSICA LOBO
Family Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (800) 851-9136
LAUREN LITTLE AXE PA
Physician Assistant (Medical)
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
WHITNEY THOMAS
Counselor
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4591
CRYSTALLE M EVANS D.O.
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4526
DR. MARTY RAY SCANTLEN D.D.S.
Dentist
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980

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 Jack Norgren's NPI number?

The NPI number for Jack Norgren is 1437787553. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Jack Norgren located?

Jack Norgren practices at 1921 Stonecipher Dr, Ada, OK 74820. The listed phone number is (580) 436-3980.

What is Jack Norgren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Norgren enrolled in Medicare?

Yes. Jack Norgren 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.

What insurance does Jack Norgren accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Jack Norgren 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 Jack Norgren affiliated with any hospitals?

According to CMS data, Jack Norgren is affiliated with Corewell Health Big Rapids Hospital and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Jack Norgren was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.