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JENNIFER LYN STICKELMEYER
NPI 1548730559
Nurse Practitioner - Family in Porter, OK

Active since December 03, 2018PECOS Enrolled
505 S MAIN ST, PORTER, OK 74454(918) 483-0111 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2019, Dec 3, 2018 (2 updates tracked since 2018).

About Jennifer Lyn Stickelmeyer NPPES

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

JENNIFER LYN STICKELMEYER (NPI 1548730559) is an individual family provider in Porter, Oklahoma, licensed in Oklahoma (R0069196) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548730559
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYN STICKELMEYER
Location Address505 S MAIN STPorter, OK 74454-1015
Mailing Address22272 E 730 RdWagoner, OK 74467-6837 · (918) 694-9766
Phone(918) 483-0111
Sole ProprietorNo
Enumeration DateDecember 3, 2018
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1548730559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · R0069196
505 S MAIN ST, Porter, OK 74454
Open in Google Maps ↗

Other Identifiers 1

OtherH081616683OK · Drivers License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lyn Stickelmeyer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74454 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$183.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. ASHLEY NOEL EVANS M.D.
Family Medicine
505 S MAIN ST
PORTER, OK 74454
Wagoner County (918) 483-0111
JESSICA TARA DIXON-NEAL LPC
Counselor (Professional)
505 S MAIN ST
PORTER, OK 74454
Wagoner County (918) 483-0111
STEPHANIE JANE GARRETT PA-C
Physician Assistant
505 S MAIN ST
PORTER, OK 74454
Wagoner County (918) 483-0111
CAITLIN ASHLEY PA-C
Physician Assistant
505 S MAIN ST
PORTER, OK 74454
Wagoner County (918) 483-0111

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 Stickelmeyer's NPI number?

The NPI number for Jennifer Stickelmeyer is 1548730559. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Jennifer Stickelmeyer located?

Jennifer Stickelmeyer practices at 505 S Main St, Porter, OK 74454. The listed phone number is (918) 483-0111.

What is Jennifer Stickelmeyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Stickelmeyer enrolled in Medicare?

Yes. Jennifer Stickelmeyer is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Stickelmeyer accept?

Health plans from Medica and Mending Health list Jennifer Stickelmeyer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Stickelmeyer was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.