Individual provider Active NPI

Emillee Barnes

  • Primary Care Nurse Practitioner
  • Hobart, OK
National Provider Identifier
1063180602
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R0098924 Issued in OK
Practice address
401 W Forest LN
Hobart, OK 73651-1645
Phone
(580) 726-2000
Fax
(580) 726-2011
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 R0098924 OK Primary

Addresses

Primary practice location

401 W Forest LN
Hobart, OK 73651-1645

Mailing address

429 W Elm St
Hobart, OK 73651-1615
Phone (580) 726-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ebarnes@evgh.org Direct

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
I20220324000172 OK Practitioner - Nurse Practitioner 7012302318 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
Group practices

Practice addresses (Care Compare)

429 W Elm
Hobart, OK 73651-1615
Phone (580) 726-1900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kiowa County Hospital Authority CurrentSince Dec 9, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients
Kiowa County Hospital Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

401 W Forest Ln
Ste 200300
Hobart, OK 73651

401 W Forest Ln
Ste 200
Hobart, OK 73651
Phone (580) 726-2000

401 W Forest Ln
Hobart, OK 73651
Phone (580) 726-2000

401 W Forest Ln
Ste 300
Hobart, OK 73651
Phone (580) 726-2000

429 W Elm St
Hobart, OK 73651
Phone (580) 726-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDBJCA/Endpoint/CDBJCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1063180602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W ELM ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511615",
            "telephone_number": "580-726-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FOREST LN",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511645",
            "telephone_number": "580-726-2000",
            "fax_number": "580-726-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "EMILLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "R0098924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ebarnes@evgh.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "401 W Forest Ln",
            "city": "Hobart",
            "state": "OK",
            "country_code": "US",
            "postal_code": "736511645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hobart, OK

Sources for this page

Verify at the official NPI Registry.