Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Andrew Jimerson, NP-C, PMGT-BC

Individual provider Family Nurse Practitioner · NPI 1376079780

Mr. Andrew Jimerson, NP-C, PMGT-BC is a Nurse Practitioner in Norman, Oklahoma. Qualified in 2017, 9 years ago. Practices with Avenstar Pain Specialists PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

3110 N Interstate Dr Ste 120
Norman, OK 73072-7206
Phone: (405) 759-8407
Fax: (405) 724-6482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 104858 (OK)

Record details

NPI number1376079780
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C , PMGT-BC
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Avenstar Pain Specialists Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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