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Frontier Regeneration Group

Nurse Practitioner

JORDAN TISDALE
NPI: 1003772765Edmond, Oklahoma, 73012(216) 224-6402

About Frontier Regeneration Group

Frontier Regeneration Group is a healthcare organization providing Nurse Practitioner services, registered under National Provider Identifier (NPI) number 1003772765. The authorized official for Frontier Regeneration Group is JORDAN TISDALE.

The organization is headquartered at 601 NW 198TH ST, Edmond, Oklahoma 73012. The main office can be reached at (216) 224-6402. Frontier Regeneration Group has been NPI-registered since 2025.

Locations & Contact

Primary Location

Address
601 NW 198TH ST
City
Edmond
State
Oklahoma
ZIP
73012-1317
Phone
(216) 224-6402
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Authorized Official

Name
JORDAN TISDALE

Mailing Address

Address
601 NW 198TH ST
City
EDMOND
State
OK
ZIP
730121317

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Nurse Practitioner
Classification
Nurse Practitioner
Taxonomy Code
363L00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Frontier Regeneration Group's NPI number?
Frontier Regeneration Group's National Provider Identifier (NPI) is 1003772765. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Frontier Regeneration Group specialize in?
Frontier Regeneration Group specializes in Nurse Practitioner.
Where is Frontier Regeneration Group located?
Frontier Regeneration Group practices at 601 NW 198TH ST, Edmond, Oklahoma 73012. You can reach them by phone at (216) 224-6402.
Does Frontier Regeneration Group accept Medicare?
Based on available data, Frontier Regeneration Group is not currently enrolled in the Medicare program.
Does Frontier Regeneration Group offer telehealth or virtual visits?
Frontier Regeneration Group does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Frontier Regeneration Group holds NPI 1003772765, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.