Individual provider Active NPI

Susan Elaine Brandt, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1003450628
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83931 Issued in OK
Practice address
2408 E 81St St Ste 900
Tulsa, OK 74137-4283
Phone
(918) 319-5021
Fax
(918) 477-5853
NPI assigned
Nov 6, 2019
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 83931 OK Primary

Addresses

Primary practice location

2408 E 81St St Ste 900
Tulsa, OK 74137-4283

Mailing address

2408 E 81St St Ste 900
Tulsa, OK 74137-4283
Phone (918) 319-5021

Other identifiers 1

IdentifierTypeStateIssuer
2019055073OtherOKAMERICAN NURSES CREDENTIALING CENTER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgraham@oksurg.com Direct Oklahoma Surgical Hospital, LLC

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
I20200429001088 OK Practitioner - Nurse Practitioner 6608206974 Reassigns benefits to 3 organizations
Practice locations: Hulbert, OK

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

811 W Main St
Henryetta, OK 74437-4249
Phone (918) 319-5021

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Healthcare Solution, LLC. CurrentSince Jun 18, 2022 Accepting new patients
Urgent Care of Muskogee PLLC CurrentSince Sep 1, 2021 Accepting new patients
Muskogee Medical Care PLLC CurrentSince Sep 1, 2021 Accepting new patients
Urgent Care of Muskogee PLLC Current Accepting new patients
Urgent Care of Muskogee PLLC CurrentSince Sep 1, 2021 Accepting new patients
Ahs Henryetta Hospital LLC Past Accepting new patients

Locations

811 W Main St
Henryetta, OK 74437
Phone (918) 319-5021

384 S 33rd St
Ste D
Muskogee, OK 74401
Phone (918) 681-6560

6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333

Interoperability endpoints

  • Direct secure messaging: hometownhealthcaresolution.susangraham@156611.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/26977/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hometown Healthcare Solution LLCHenryetta, OK, CCN 373914 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1003450628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 E 81ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374283",
            "telephone_number": "918-319-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 E 81ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374283",
            "telephone_number": "918-319-5021",
            "fax_number": "918-477-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2019055073",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgraham@oksurg.com",
            "affiliation": "Y",
            "endpointDescription": "Company EMAIL",
            "affiliationName": "Oklahoma Surgical Hospital, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messaging and EMAIL",
            "address_1": "2408 E 81st St Ste 900",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741374283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.