Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JON ANN ESPONGE APRN, FNP-C
NPI 1609425008
Nurse Practitioner in Broken Arrow, OK

Q: What is Jon Esponge's NPI number?

The NPI number for Jon Esponge is 1609425008. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Q: What is Jon Esponge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Esponge was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since September 09, 2019PECOS Enrolled

2249 W WASHINGTON ST, BROKEN ARROW, OK 74012(918) 280-9679 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Sep 9, 2019 (2 updates tracked since 2019).

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About Mrs. Jon Ann Esponge Aprn, Fnp-c NPPES

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

MRS. JON ANN ESPONGE APRN, FNP-C (NPI 1609425008) is an individual nurse practitioner in Broken Arrow, Oklahoma, licensed in Oklahoma (M0081608) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609425008

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JON ANN ESPONGECredential: APRN, FNP-C

Location Address2249 W WASHINGTON STBroken Arrow, OK 74012-6703

Mailing Address2249 W Washington StBroken Arrow, OK 74012-6703 · (918) 960-5335

Phone(918) 280-9679

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 9, 2019

Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1609425008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OK · M0081608

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2019034297 (MO), 53-78929-071 (KS)

2249 W WASHINGTON ST, Broken Arrow, OK 74012

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jon Ann Esponge Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012340383

PECOS Enrollment IDI20210324000703

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 Reassignments

Medicare enrollment records show Jon Esponge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Moonlit Mental Health LLC

Same address

Psychiatric/Mental Health

2249 W WASHINGTON ST
Broken Arrow, OK 74012

Reassigned Medicare billing, Oklahoma enrollment
3 clinicians in this Medicare group

NPI 1114863081 (918) 280-9679

Jeffrey K Mcilroy MD Inc

24 mi

Mental Health (Including Community Mental Health Center)

2990 N SIOUX AVE
Claremore, OK 74017

Reassigned Medicare billing, Oklahoma enrollment
23 clinicians in this Medicare group

NPI 1053531830 (918) 342-2622

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

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.

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.

49 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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 2

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

MOONLIT MENTAL HEALTH LLC

Nurse Practitioner (Psychiatric/Mental Health)

2249 W WASHINGTON ST
BROKEN ARROW, OK 74012

Tulsa County (918) 280-9679

SARAH ABIGAIL WOODY APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

2249 W WASHINGTON ST
BROKEN ARROW, OK 74012

Tulsa County (918) 960-5335

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 Jon Esponge's NPI number?

The NPI number for Jon Esponge is 1609425008. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Jon Esponge located?

Jon Esponge practices at 2249 W Washington St, Broken Arrow, OK 74012. The listed phone number is (918) 280-9679.

What is Jon Esponge's specialty?

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

Is Jon Esponge enrolled in Medicare?

Yes. Jon Esponge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jon Esponge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Esponge reassigns Medicare benefits to 2 organizations: Moonlit Mental Health LLC (Broken Arrow, OK) and Jeffrey K Mcilroy MD Inc (Claremore, OK). Each 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 Jon Esponge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Esponge accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Jon Esponge 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 Jon Esponge was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.