JENNE DEANN GOUGH APRN, PMHNP-BC
NPI 1639733884
Nurse Practitioner - Psychiatric/Mental Health in Moore, OK

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
1105 SW 30TH CT, MOORE, OK 73160(405) 378-2727 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Apr 23, 2019 (2 updates tracked since 2019).

About Jenne Deann Gough Aprn, Pmhnp-bc NPPES

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

JENNE DEANN GOUGH APRN, PMHNP-BC (NPI 1639733884) is an individual psychiatric/mental health provider in Moore, Oklahoma, licensed in Oklahoma (225001) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hobart, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639733884
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNE DEANN GOUGHCredential: APRN, PMHNP-BC
Location Address1105 SW 30TH CTMoore, OK 73160-2887
Mailing Address1105 Sw 30th CtMoore, OK 73160-2887 · (405) 378-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 23, 2019
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1639733884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OK · 225001
Also ListedRegistered NurseTaxonomy 163W00000X · License 105924 (OK)
1105 SW 30TH CT, Moore, OK 73160

Secondary Practice Location 1

Location 1216 S Main StHobart, OK 73651-3628 · Phone (580) 726-2452 · Fax (580) 726-2483

Accepted 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

Jenne Deann Gough Aprn, Pmhnp-bc 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 ID244711026
PECOS Enrollment IDI20260220000819
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 73160 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.

Counselor (Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Physician Assistant
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Social Worker (Clinical)
1105 SW 30TH CT
MOORE, OK 73160
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160

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 Jenne Gough's NPI number?

The NPI number for Jenne Gough is 1639733884. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Jenne Gough located?

Jenne Gough practices at 1105 SW 30th Ct, Moore, OK 73160. The listed phone number is (405) 378-2727.

What is Jenne Gough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jenne Gough enrolled in Medicare?

Yes. Jenne Gough 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 Jenne Gough accept?

Health plans from Medica list Jenne Gough 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 Jenne Gough was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.