Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992095640 Individual Practitioner Female Practitioner

Dr. Jessica Ann Wallenmeyer , MD

Pediatrics • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Wallenmeyer, MD is a registered healthcare professional specializing in Pediatrics in Edmond, OK. Practice services are available at 2109 N KELLY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2109 N Kelly Ave

Edmond, OK 730033908

Telephone 4055138880
Associated Practice Facility / Clinic
🏢 Edmond Pediatrics Facility NPI 1548505258

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Edmond, OK (730 Statewide)

Telehealth Adoption Rate
4.2% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 31309

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX P6106

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Stacey Trupiano , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1760640106

CPNPPC

NPI 1801389275

Doctor of Medicine (M.D.)

NPI 1851381057

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2015

Registered at 2109 N KELLY AVE, EDMOND, OK 730033908 (Tel: 4055138880)

📍
Updated Business Mailing Address August 24, 2015

Registered at 2109 N KELLY AVE, EDMOND, OK 730033908

👤
Provider Name / Credentials Updated August 24, 2015

Recorded as JESSICA WALLENMEYER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2015

Pediatrics (License #31309 in OK)

🟢
Initial NPI Registration & Enumeration April 14, 2011

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: 1992095640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2011
Last Update: August 24, 2015
Sole Proprietor: No

Mailing Address

2109 N Kelly Ave

Edmond, OK 730033908

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.