Individual provider Active NPI

Sheryl Nicks

  • Adult Health Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1033863352
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG07200164 Issued in OK
Practice address
1232 SW 89TH St Ste C
Oklahoma City, OK 73139-9110
Phone
(888) 495-2138
NPI assigned
Feb 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG07200164 OK Primary

Addresses

Primary practice location

1232 SW 89TH St Ste C
Oklahoma City, OK 73139-9110

Mailing address

1232 SW 89TH St Ste C
Oklahoma City, OK 73139-9110
Phone (888) 495-2138

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
I20221102000559 OK Practitioner - Nurse Practitioner 4789051855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Frontier Wound Management LLCGroup PAC ID 8325580970, 2 clinicians

Practice addresses (Care Compare)

3336 E 32ND St
Suite 102
Tulsa, OK 74135-4448
Phone (918) 236-4601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG07200164OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Hospice, Inc CurrentSince Sep 25, 2022 Accepting new patients
New Frontier Wound Management LLC CurrentSince May 10, 2025 Accepting new patients
Total Wound Care of Oklahoma, LLC CurrentSince May 6, 2024 Accepting new patients
Choice Home Health, Inc PastSince Sep 20, 2022 Accepting new patients

Locations

1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 246-0812

1232 SW 89th St
Ste A
Oklahoma City, OK 73139
Phone (405) 879-3470

1232 SW 89th St
Ste C
Oklahoma City, OK 73139
Phone (405) 879-3470

3336 E 32nd St
Ste 102
Tulsa, OK 74135
Phone (918) 236-4600

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": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1033863352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 SW 89TH ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399110",
            "telephone_number": "888-495-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 SW 89TH ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399110",
            "telephone_number": "888-495-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKS",
        "first_name": "SHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "AG07200164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.