Individual provider Active NPI

Stefanie Kleinle

  • Family Nurse Practitioner
  • El Reno, OK
National Provider Identifier
1023720174
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217370 Issued in OK
Practice address
1900 S Country Club Rd
El Reno, OK 73036-5427
Phone
(405) 295-2900
Fax
(405) 212-4480
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 217370 OK Primary

Addresses

Primary practice location

1900 S Country Club Rd
El Reno, OK 73036-5427

Mailing address

7317 Elaine St
Yukon, OK 73099-8990

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
I20240910003176 OK Practitioner - Nurse Practitioner 8325588924 Reassigns benefits to 1 organization

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
Healthcare One Associates PLLCGroup PAC ID 4688848369, 23 clinicians

Practice addresses (Care Compare)

1900 S Country Club Rd
El Reno, OK 73036-5427
Phone 4052952900113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare One Associates PLLC CurrentSince Jun 8, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1900 S Country Club Rd
El Reno, OK 73036
Phone (405) 295-2900

1900 S Country Club Rd
Ste 100
El Reno, OK 73036

1714 N Broadway Blvd
Hinton, OK 73047
Phone (405) 542-6131

5100 E Highway 37
Tuttle, OK 73089
Phone (405) 381-5111

5100 E Highway 37
#One
Tuttle, OK 73089
Phone (405) 381-5111

508 W Vandament Ave
Ste 100
Yukon, OK 73099
Phone (405) 350-0561

Interoperability endpoints

  • Direct secure messaging: stefanie.kleinle@hc1.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1023720174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 ELAINE ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S COUNTRY CLUB RD",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365427",
            "telephone_number": "405-295-2900",
            "fax_number": "405-212-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINLE",
        "first_name": "STEFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "217370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.