Individual provider Active NPI

Karli Ophern Bowles

  • Family Nurse Practitioner
  • Pryor, OK
National Provider Identifier
1013792894
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0117027 Issued in OK
Practice address
109 Steve Barry Blvd
Pryor, OK 74361-6841
Phone
(405) 442-5019
Fax
(405) 442-5073
NPI assigned
Aug 29, 2023
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 R0117027 OK Primary

Addresses

Primary practice location

109 Steve Barry Blvd
Pryor, OK 74361-6841

Mailing address

109 Steve Barry Blvd
Pryor, OK 74361-6841
Phone (580) 660-4003

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
I20231017000369 OK Practitioner - Nurse Practitioner 5193170702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Health Management LLCGroup PAC ID 6305235565, 12 clinicians

Practice addresses (Care Compare)

109 Steve Barry Blvd
Pryor, OK 74361-6841
Phone (405) 422-5019

1103 W Cherokee St
Wagoner, OK 74467-4621
Phone (918) 410-0200

213 N Broadway St
Checotah, OK 74426-2431
Phone (918) 401-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0117027OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Management, LLC CurrentSince Jul 6, 2024 Accepting new patients
Signify Health, LLC CurrentSince May 11, 2024 Accepting new patients

Locations

213 N Broadway St
Checotah, OK 74426
Phone (918) 401-0200

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

109 Steve Barry Blvd
Pryor, OK 74361
Phone (405) 422-5019

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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 1

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1013792894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STEVE BARRY BLVD",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616841",
            "telephone_number": "580-660-4003",
            "fax_number": "405-442-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 STEVE BARRY BLVD",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616841",
            "telephone_number": "405-442-5019",
            "fax_number": "405-442-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "KARLI",
        "middle_name": "OPHERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0117027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, OK

Sources for this page

Verify at the official NPI Registry.