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Active NPI 1346235488 Individual Practitioner Female Practitioner

Jacqueline L Gillespie , ARNP

Nurse Practitioner - Pediatrics • Duncan, OK

Professional Overview & Biography Verified Profile Summary

Jacqueline Gillespie, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Duncan, OK. Practice services are available at 2502 W ELK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2502 W Elk Ave

Duncan, OK 735331562

Telephone 5802529600
Fax 5802526100
Associated Practice Facility / Clinic
🏢 Duncan Regional Hospital, Inc Facility NPI 1386156321

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Duncan, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Duncan, OK (182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OK 45906

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License OK R0045906

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100113640A (OK)
Commercial Insurance / Payer ID Soonercare Choice-Lawton
100113640B (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1336678564

Doctor of Osteopathic Medicine (D.O.)

Shelly Poplin

Nurse Practitioner - Pediatrics

NPI 1548524499

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2011

Registered at 2502 W ELK AVE, DUNCAN, OK 735331562 (Tel: 5802529600)

📍
Updated Business Mailing Address June 16, 2011

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053127605)

👤
Provider Name / Credentials Updated June 16, 2011

Recorded as JACQUELINE GILLESPIE, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2011

Registered Nurse (License #R0045906 in OK)

🟢
Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346235488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: June 16, 2011
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6053127605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.