Northeast Oklahoma Physician Network Inc
A Medicare group practice based in Tulsa, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8527224252), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8527224252
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 1
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120725000427 | OK | Part B Supplier - Clinic/Group Practice | 1114283025 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northeast Oklahoma Physician Network Inc
- Family Medicine Physician
- Broken Arrow, OK
- NPI 1114283025
-
Northeast Oklahoma Physician Network Inc
- Urgent Care Clinic/Center
- Broken Arrow, OK
- NPI 1205190501
Practice locations
- Broken Arrow, OK1
- Tulsa, OK1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).
-
Keri Enns, APRN-CNP
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1417470006
-
Leticia Enriquez Rojas, APRN, FNP-C
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1164978045
-
Scott J. Fowler, D.O.
- Family Medicine Physician
- Broken Arrow, OK
- NPI 1952563892
-
Patricia Joyce Iven, PA-C
- Physician Assistant
- Broken Arrow, OK
- NPI 1033480538
-
Leisha Lawson
- Family Nurse Practitioner
- Broken Arrow, OK
- NPI 1326519349
-
Benedict Johnson Middleton IV, FNP-C
- Family Nurse Practitioner
- Broken Arrow, OK
- NPI 1700688371
-
Clell W Pond, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Tulsa, OK
- NPI 1093795510
-
Kristina Price, DO
- Family Medicine Physician
- Sand Springs, OK
- NPI 1295964823
-
Adrian Theerman, APRN
- Family Nurse Practitioner
- Broken Arrow, OK
- NPI 1295375996
-
William Vaughn, NP
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1558809434
-
Kimberly Ann Wilson, MSN, APRN-CNP, NP-C
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1841749439
-
Megan Rey Winford, APRN
- Family Nurse Practitioner
- Broken Arrow, OK
- NPI 1902783152
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.