Individual provider Active NPI

Mandi L Brown, ARNP

  • Primary Care Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1033156096
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R0075445 Issued in OK
Practice address
14800 S Western Ave Ste a
Oklahoma City, OK 73170-7107
Phone
(405) 515-0330
Fax
(405) 307-5662
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R0075445 OK Primary

Addresses

Primary practice location

14800 S Western Ave Ste a
Oklahoma City, OK 73170-7107

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6668

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidOK

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
I20091119000595 OK Practitioner - Nurse Practitioner 5991844599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Classen Family Practice LLCGroup PAC ID 8729215025, 10 clinicians

Practice addresses (Care Compare)

1015 SW 4TH St
Moore, OK 73160-2404
Phone (405) 378-2001

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
R0075445OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Classen Family Practice LLC CurrentSince Aug 14, 2025 Accepting new patients
Norman Regional Providers Primary Care CurrentSince Jan 1, 2019 Accepting new patients
Classen Family Practice LLC CurrentSince Aug 14, 2025 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

1015 SW 4th St
Moore, OK 73160
Phone (405) 378-2001

2824 Classen Blvd
#100
Norman, OK 73071
Phone (405) 701-3563

2824 Classen Blvd
Norman, OK 73071
Phone (405) 701-3563

2818 Classen Blvd
Norman, OK 73071
Phone (405) 701-7111

14800 S Western Ave
Ste A
Oklahoma City, OK 73170
Phone (405) 515-0330

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1033156096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 S WESTERN AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731707107",
            "telephone_number": "405-515-0330",
            "fax_number": "405-307-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MANDI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "R0075445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.