Individual provider Active NPI

Emily Serena Richert, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1053126680
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222124 Issued in OK
Practice address
4117 NW 122ND St
Oklahoma City, OK 73120-8869
Phone
(405) 463-3380
NPI assigned
Feb 11, 2025
Last updated
Mar 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222124 OK Primary
Community Health Registered Nurse 163WC1500X R0133121 OK

Addresses

Primary practice location

4117 NW 122ND St
Oklahoma City, OK 73120-8869

Mailing address

13100 Colonypointe Blvd Ste 103
Piedmont, OK 73078-8828
Phone (405) 596-8796

Other practice location 1

13100 Colonypointe Blvd Ste 103
Piedmont, OK 73078-8828
Phone (405) 596-8796 ext. 68796

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
I20250313002141 OK Practitioner - Nurse Practitioner 2769904275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Pain Physicians PCGroup PAC ID 1658506290, 6 clinicians

Practice addresses (Care Compare)

4117 NW 122ND St
Suite C
Oklahoma City, OK 73120-8878
Phone (405) 463-3380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0133121OKMDCommunity Health Registered Nurse
222124OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Pain Physicians PC CurrentSince Feb 27, 2025 Accepting new patients

Locations

1215 Crossroads Blvd
Ste 100
Norman, OK 73072
Phone (405) 310-2715

4117 NW 122nd St
Ste C
Oklahoma City, OK 73120
Phone (405) 463-3380

Organizations & group practices 1

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1053126680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 COLONYPOINTE BLVD STE 103",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730788828",
            "telephone_number": "405-596-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 NW 122ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208869",
            "telephone_number": "405-463-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13100 Colonypointe Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "OK",
            "postal_code": "730788828",
            "country_code": "US",
            "telephone_number": "405-596-8796 x68796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHERT",
        "first_name": "EMILY",
        "middle_name": "SERENA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "222124",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "R0133121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.