Individual provider Active NPI

Elizabeth Stanfield Carradini, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1023623923
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
122871 Issued in OK
Practice address
1520 S Bryant Ave
Edmond, OK 73013-6028
Phone
(405) 348-7982
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 122871 OK Primary

Addresses

Primary practice location

1520 S Bryant Ave
Edmond, OK 73013-6028

Mailing address

1520 S Bryant Ave
Edmond, OK 73013-6028

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
I20210405000989 OK Practitioner - Nurse Practitioner 5890102107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122871OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority Family CurrentSince Mar 1, 2021 Accepting new patients
Advanced Wound Therapy CurrentSince Sep 16, 2024 Accepting new patients
Stillwater Medical Center Authority CurrentSince Mar 1, 2021 Accepting new patients

Locations

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1301 W 6th Ave
Ste 102
Stillwater, OK 74074
Phone (405) 372-1480

2488 E 81st St
Ste 2000
Tulsa, OK 74137
Phone (918) 803-1190

Interoperability endpoints

  • Direct secure messaging: elizabeth.carradini.p1@direct.smc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1023623923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136028",
            "telephone_number": "405-348-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRADINI",
        "first_name": "ELIZABETH",
        "middle_name": "STANFIELD",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "122871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.