Lester Keathley, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

103738 Issued in OK

Practice address

700 N Main St
Gore, OK 74435-2013

Phone

(918) 571-2369

NPI assigned

Feb 7, 2012

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Wound Care LLCGroup PAC ID 4486028685, 29 clinicians

Eastern Oklahoma Medical Consultants PLLCGroup PAC ID 9739337510, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Healthcare Solutions XI Home health agency, Gore, OK, CCN 377750
• Oklahoma Healthcare Solutions IX Home health agency, Muskogee, OK, CCN 377632
• Sequoyah County-City of Sallisaw Hospital Authorit Hospital, Sallisaw, OK, CCN 370112
• Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eastern Oklahoma Medical Consultants, PLLC

  • Rural Health Clinic/Center
  • Gore, OK
  • NPI 1114276425

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Oklahoma Medical Consultants, PLLC

  • Rural Health Clinic/Center
  • Gore, OK
  • NPI 1114276425
  Medicare reassignment Care Compare group NPD
• Mobile Wound Care LLC

  dba On-Site Wounds

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1376240028

  Family

  Medicare reassignment Care Compare group NPD
• Superior Medical

  • General Practice Physician
  • Gore, OK
  • NPI 1073330056
  Medicare reassignment NPD
• Eastern Oklahoma Medical Consultants, PLLC

  • Rural Health Clinic/Center
  • Gore, OK
  • NPI 1588147938
  NPD
• Mobile Wound Care LLC

  dba On-Site Wounds

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1992502421
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Country Style Health Care Inc IX

  dba Oklahoma Healthcare Solutions IX

  • Home Health Agency
  • Henryetta, OK
  • NPI 1831190107
  Care Compare affiliation
• Country Style Health Care, Inc. XI

  dba Oklahoma Healthcare Solutions XI

  • Home Health Agency
  • Gore, OK
  • NPI 1255641155
  Care Compare affiliation
• Saint Francis Hospital Muskogee Inc

  dba Saint Francis Hospital Muskogee

  • General Acute Care Hospital
  • Muskogee, OK
  • NPI 1386188837
  Care Compare affiliation
• Sequoyah County City of Sallisaw Hospital Authority

  dba Sequoyah Memorial Hospital

  • Rural Acute Care Hospital
  • Sallisaw, OK
  • NPI 1972539567
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1003188962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 8TH STREET",
            "city": "GORE",
            "state": "OK",
            "postal_code": "74435",
            "telephone_number": "918-571-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "city": "GORE",
            "state": "OK",
            "postal_code": "744352013",
            "telephone_number": "918-571-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATHLEY",
        "first_name": "LESTER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "103738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gore Eye Clinic PLLC (Gore Eye Clinic)
• Gore Green Country Drug, Inc. (Gore Green Country Drug)
• Gore Health Services, LLC (Community Healthcare of Gore)
• Gore Public Schools
• Haskell Regional Hospital, Inc. (HRH Medical Group, Gore)
• Brandon King, D.O.
• Jane P Linduff
• LTC Solutions, PLLC
• Arnie D McGee, D.D.S.
• Samantha McGee

• Family Nurse Practitioner in Gore, OK
• Providers in Gore, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.