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JORDAN GILLINGHAM PMHNP-BC
NPI 1811779515
Nurse Practitioner - Psychiatric/Mental Health in Tulsa, OK

Active since October 17, 2023PECOS EnrolledAccepts Medicare Assignment
4870 S LEWIS AVE STE 240, TULSA, OK 74105(918) 982-6524(539) 399-7559 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2025, Feb 8, 2024, Oct 17, 2023 (3 updates tracked since 2023).

About Jordan Gillingham Pmhnp-bc NPPES

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

JORDAN GILLINGHAM PMHNP-BC (NPI 1811779515) is an individual psychiatric/mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (215545) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811779515
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJORDAN GILLINGHAMCredential: PMHNP-BC
Location Address4870 S LEWIS AVE STE 240Tulsa, OK 74105-5153
Mailing Address4870 S Lewis Ave Ste 240Tulsa, OK 74105-5153 · (918) 982-6524 · Fax (539) 399-7559
Phone(918) 982-6524
Fax(539) 399-7559
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 17, 2023
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1811779515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OK · 215545
4870 S LEWIS AVE STE 240, Tulsa, OK 74105
Open in Google Maps ↗

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

Jordan Gillingham 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 ID1759829567
PECOS Enrollment IDI20240812002316
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 74105 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 4

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

JEFFREY OWEN
Psychiatry & Neurology (Psychiatry)
4870 S LEWIS AVE STE 240
TULSA, OK 74105
Tulsa County (918) 982-6524
BRENDA KAY RICHARDS APRN
Nurse Practitioner (Psychiatric/Mental Health)
4870 S LEWIS AVE STE 240
TULSA, OK 74105
Tulsa County (918) 982-6524
TULSA METRO PSYCHIATRY, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4870 S LEWIS AVE STE 240
TULSA, OK 74105
Tulsa County (918) 982-6524
ANDREW KYLE CARTER PA-C
Physician Assistant
4870 S LEWIS AVE STE 240
TULSA, OK 74105
Tulsa County (918) 982-6524

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 Jordan Gillingham's NPI number?

The NPI number for Jordan Gillingham is 1811779515. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Jordan Gillingham located?

Jordan Gillingham practices at 4870 S Lewis Ave Ste 240, Tulsa, OK 74105. The listed phone number is (918) 982-6524.

What is Jordan Gillingham's specialty?

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

Is Jordan Gillingham enrolled in Medicare?

Yes. Jordan Gillingham 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 Jordan Gillingham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Jordan Gillingham 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 Jordan Gillingham was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.