JACKELINE VANESSA PICKELSIMER DNP, APRN-CNP, FNP
NPI 1629685946
Nurse Practitioner - Family in Oklahoma City, OK

Q: What is Jackeline Pickelsimer's NPI number?

The NPI number for Jackeline Pickelsimer is 1629685946. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Q: What is Jackeline Pickelsimer's specialty?

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

Active since September 30, 2020PECOS EnrolledAccepts Medicare Assignment

1025 STRAKA TER, OKLAHOMA CITY, OK 73139(405) 632-6688 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackeline Vanessa Pickelsimer Dnp, Aprn-cnp, Fnp NPPES

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

JACKELINE VANESSA PICKELSIMER DNP, APRN-CNP, FNP (NPI 1629685946) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (111011) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Integris Southwest Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629685946

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKELINE VANESSA PICKELSIMERCredential: DNP, APRN-CNP, FNP

Location Address1025 STRAKA TEROklahoma City, OK 73139-2544

Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688

Phone(405) 632-6688

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 30, 2020

NPPES CertifiedSeptember 30, 2020

✔ NPI 1629685946 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 · 111011

1025 STRAKA TER, Oklahoma City, OK 73139

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Jackeline Vanessa Pickelsimer Dnp, Aprn-cnp, Fnp 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 ID7810317815

PECOS Enrollment IDI20201013001567

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.

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

49 services23 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73139 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.74 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$55.20 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 20

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

MRS. JUDY KAY KELLOGG ARNP

Nurse Practitioner (Women's Health)