Individual provider Active NPI

Deesha Brooke Lornes, FNP-BC

  • Family Nurse Practitioner
  • Choctaw, OK
National Provider Identifier
1023971553
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226493 Issued in OK
Practice address
12410 NE 28TH St
Choctaw, OK 73020-8604
Phone
(580) 798-7620
NPI assigned
Dec 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 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 Nurse Practitioner 363LF0000X 226493 OK Primary

Addresses

Primary practice location

12410 NE 28TH St
Choctaw, OK 73020-8604

Mailing address

12410 NE 28TH St
Choctaw, OK 73020-8604
Phone (580) 798-7620

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
I20260402000512 OK Practitioner - Nurse Practitioner 1153806633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR Shawnee LLCGroup PAC ID 8224476171, 7 clinicians
NR Midwest City LLCGroup PAC ID 9830554377, 5 clinicians

Practice addresses (Care Compare)

3700 N Kickapoo Ave
Suite 116
Shawnee, OK 74804-0007
Phone (405) 551-8103

8121 National Ave
Suite 105
Midwest City, OK 73110-7570
Phone (405) 694-4042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226493OKMDFamily Nurse Practitioner

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": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1023971553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 NE 28TH ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208604",
            "telephone_number": "580-798-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 NE 28TH ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208604",
            "telephone_number": "580-798-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORNES",
        "first_name": "DEESHA",
        "middle_name": "BROOKE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "226493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Choctaw, OK

Sources for this page

Verify at the official NPI Registry.