Individual provider Active NPI

Heather Renee Nelms, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Stratford, OK
National Provider Identifier
1053061457
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
207407 Issued in OK
Practice address
120 N Forrest
Stratford, OK 74872-4652
Phone
(580) 759-0022
Fax
(580) 759-2177
NPI assigned
Mar 28, 2022
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 207407 OK Primary

Addresses

Primary practice location

120 N Forrest
Stratford, OK 74872-4652

Mailing address

16747 County Road 3547
Ada, OK 74820-7946
Phone (918) 282-6234

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
I20220518000219 OK Practitioner - Nurse Practitioner 3072990704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balance Womens Health LLCGroup PAC ID 3476927740, 89 clinicians

Practice addresses (Care Compare)

6400 S Lewis Ave
Suite 100
Tulsa, OK 74136-1088
Phone (405) 378-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207407OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Women's Health, LLC CurrentSince Jun 2, 2025 Accepting new patients
Morton Medical and Mental Health Group PastSince Jun 2, 2024 Accepting new patients

Locations

1105 SW 30th Ct
Moore, OK 73160
Phone (405) 676-5114

6400 S Lewis Ave
Ste 100
Tulsa, OK 74136
Phone (918) 270-4100

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.heathernelms@148561.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1053061457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16747 COUNTY ROAD 3547",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207946",
            "telephone_number": "918-282-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N FORREST",
            "city": "STRATFORD",
            "state": "OK",
            "postal_code": "748724652",
            "telephone_number": "580-759-0022",
            "fax_number": "580-759-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "207407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, OK

Sources for this page

Verify at the official NPI Registry.