Individual provider Active NPI

Haley Brooke Mitchell

  • Nurse Practitioner
  • Ada, OK
National Provider Identifier
1033760970
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
109205 Issued in OK
Practice address
721 Better Now PLZ
Ada, OK 74820-2279
Phone
(580) 272-0025
Fax
(580) 272-6559
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R109205 OK
Family Nurse Practitioner 363LF0000X 109205 OK
Nurse Practitioner 363L00000X 109205 OK Primary

Addresses

Primary practice location

721 Better Now PLZ
Ada, OK 74820-2279

Mailing address

721 Better Now PLZ
Ada, OK 74820-2279
Phone (580) 272-0025

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
I20200317001057 OK Practitioner - Nurse Practitioner 2769810290 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
Baha Al Deen Abuesheh MD PCGroup PAC ID 4183623218, 7 clinicians

Practice addresses (Care Compare)

11101 Hefner Pointe Dr
Suite 105
Oklahoma City, OK 73120-5054
Phone (580) 223-0447

Hospital & facility affiliations

  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R109205OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baha Al Deen Abuesheh MD PC CurrentSince Jun 16, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Saints Medical Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Purcell Municipal Hospital Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1803 N Rockford Rd
Ardmore, OK 73401
Phone (580) 223-0447

2002 N Council Ave
Blanchard, OK 73010
Phone (405) 485-4701

3345 Territory Ln
El Reno, OK 73036
Phone (405) 252-3550

18961 NE 23rd St
Harrah, OK 73045
Phone (405) 390-1800

11101 Hefner Pointe Dr
Ste 105
Oklahoma City, OK 73120
Phone (405) 604-4936

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

6201 N Santa Fe Ave
Ste 1010
Oklahoma City, OK 73118
Phone (405) 772-8687

999 Hospital Dr
Purcell, OK 73080
Phone (405) 803-5010

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Organizations & group practices 5

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 5

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1033760970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BETTER NOW PLZ",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202279",
            "telephone_number": "580-272-0025",
            "fax_number": "580-272-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BETTER NOW PLZ",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202279",
            "telephone_number": "580-272-0025",
            "fax_number": "580-272-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "HALEY",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R109205",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "109205",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "109205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.