Main Street Family Clinic Aprn-Cnp PLLC
NPI 1811321102 · Primary Care Clinic/Center · Jenks, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Family Clinic Aprn-Cnp PLLC is a Primary Care Clinic/Center organization in Jenks, OK (NPI 1811321102).
Provider details
- NPI number
- 1811321102
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Schroeder, Family Nurse Practitioner(918) 518-5770
- License
- R00035175 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-22
- Last updated
- 2013-12-11
Frequently asked questions
- What is Main Street Family Clinic Aprn-Cnp PLLC's NPI number?
- Main Street Family Clinic Aprn-Cnp PLLC's National Provider Identifier (NPI) is 1811321102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Family Clinic Aprn-Cnp PLLC?
- Main Street Family Clinic Aprn-Cnp PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Main Street Family Clinic Aprn-Cnp PLLC located?
- Main Street Family Clinic Aprn-Cnp PLLC's practice location on file with NPPES is 1201 W Main St, Jenks, OK 74037-2311.
- What is Main Street Family Clinic Aprn-Cnp PLLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Family Clinic Aprn-Cnp PLLC is (918) 518-5770.
- Does Main Street Family Clinic Aprn-Cnp PLLC accept Medicare?
- Main Street Family Clinic Aprn-Cnp PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Street Family Clinic Aprn-Cnp PLLC?
- The authorized official listed on Main Street Family Clinic Aprn-Cnp PLLC's NPPES record is Debra Schroeder, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Family Clinic Aprn-Cnp PLLC's NPI active?
- Yes — Main Street Family Clinic Aprn-Cnp PLLC's NPI (1811321102) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.