Individual provider Active NPI

Rachel Kersker, APRN

  • Family Medicine Physician
  • Pryor, OK
National Provider Identifier
1003439258
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110911 Issued in OK
Practice address
24 Quail Dr Ste a
Pryor, OK 74361-6900
Phone
(918) 302-1905
Fax
(918) 443-3127
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110911 OK Primary

Addresses

Primary practice location

24 Quail Dr Ste a
Pryor, OK 74361-6900

Mailing address

24 Quail Dr Ste a
Pryor, OK 74361-6900
Phone (918) 302-1905

Other identifiers 1

IdentifierTypeStateIssuer
110911OtherOKOBN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200825001523 OK Practitioner - Nurse Practitioner 5294152088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

265 E
Suite 460
Pryor, OK 74361-2150
Phone (918) 530-9859

Hospital & facility affiliations

  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110911OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Cornerstone Family Healthcare PLLC CurrentSince Oct 11, 2023 Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients

Locations

1220 N Florence Ave
Ste A
Claremore, OK 74017
Phone (918) 341-5311

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: rachel.kersker@740036476338180.direct.elationemr.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 4

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1003439258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 QUAIL DR STE A",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616900",
            "telephone_number": "918-302-1905",
            "fax_number": "918-443-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 QUAIL DR STE A",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616900",
            "telephone_number": "918-302-1905",
            "fax_number": "918-443-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSKER",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "110911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBN",
            "identifier": "110911",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, OK

Sources for this page

Verify at the official NPI Registry.