JEANNE M EDWARDS PC
NPI 1730391954
Specialist in Tulsa, OK

Active since May 03, 2007
1717-B S UTICA SUITE 200, TULSA, OK 74104(918) 712-7900(918) 712-9757 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeanne M Edwards Pc NPPES

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

JEANNE M EDWARDS PC (NPI 1730391954) is a healthcare organization registered as a specialist in Tulsa, Oklahoma and active in the NPI registry since May 2007. The organization lists Dori Ernstsen, Manager, as its authorized official.

NPPES Registry Identity

NPI1730391954
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJEANNE M EDWARDS PC
Location Address1717-B S UTICA SUITE 200Tulsa, OK 74104
Mailing Address1717-b S Utica Suite 200Tulsa, OK 74104 · (918) 712-7900 · Fax (918) 712-9757
Fax(918) 712-9757
Organization SubpartNo
Authorized OfficialDori ErnstsenManager · 91871217900
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 10, 2014
✔ NPI 1730391954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 13708
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1717-B S UTICA SUITE 200, Tulsa, OK 74104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanne M Edwards Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeanne M Edwards PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1740223403
1717-B S UTICA SUITE 200
Tulsa, OK 74104
(918) 712-7900
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeanne M Edwards PC's NPI number?

The NPI number for Jeanne M Edwards PC is 1730391954. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Jeanne M Edwards PC located?

Jeanne M Edwards PC is located at 1717-B S Utica Suite 200, Tulsa, OK 74104. The listed phone number is (918) 712-7900.

What is Jeanne M Edwards PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeanne M Edwards PC enrolled in Medicare?

Yes. Jeanne M Edwards PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeanne M Edwards PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Jeanne M Edwards PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeanne M Edwards PC was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.