COURTNEY NICOLE JERSEY PA
NPI 1952878472
Physician Assistant - Medical in Edmond, OK

Active since November 02, 2018PECOS Enrolled
2301 W I 35 FRONTAGE RD, EDMOND, OK 73013(405) 757-3365(405) 757-3499 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2018, Nov 2, 2018 (2 updates tracked since 2018).

About Courtney Nicole Jersey Pa NPPES

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

COURTNEY NICOLE JERSEY PA (NPI 1952878472) is an individual medical provider in Edmond, Oklahoma, licensed in Oklahoma (4390) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952878472
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCOURTNEY NICOLE JERSEYCredential: PA
Location Address2301 W I 35 FRONTAGE RDEdmond, OK 73013-8515
Mailing Address2301 W I 35 Frontage RdEdmond, OK 73013-8515 · (405) 757-3365 · Fax (405) 757-3499
Fax(405) 757-3499
Sole ProprietorYes
Enumeration DateNovember 2, 2018
Last NPPES UpdateJune 22, 20222 updates tracked since enumeration
NPPES CertifiedJune 22, 2022
NPI 1952878472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in OK · 4390 Licensed in TX · PA12364
2301 W I 35 FRONTAGE RD, Edmond, OK 73013

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 (PECOS)

Courtney Nicole Jersey Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
2301 W I 35 FRONTAGE RD
EDMOND, OK 73013
Nurse Practitioner (Family)
2301 W I 35 FRONTAGE RD
EDMOND, OK 73013
Nurse Practitioner (Family)
2301 W I 35 FRONTAGE RD
EDMOND, OK 73013
Family Medicine
2301 W I 35 FRONTAGE RD
EDMOND, OK 73013
Nurse Practitioner (Family)
2301 W I 35 FRONTAGE RD
EDMOND, OK 73013

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 Courtney Jersey's NPI number?

The NPI number for Courtney Jersey is 1952878472. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Courtney Jersey located?

Courtney Jersey practices at 2301 W I 35 Frontage Rd, Edmond, OK 73013. The listed phone number is (405) 757-3365.

What is Courtney Jersey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Courtney Jersey enrolled in Medicare?

Yes. Courtney Jersey is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Jersey accept?

Health plans from Medica and UnitedHealthcare list Courtney Jersey 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 Courtney Jersey was last updated on June 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.