Individual provider Active NPI

Rachel Michelle Mock

  • Acute Care Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1063279909
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
219745 Issued in OK
Practice address
700 NE 13TH St
Oklahoma City, OK 73104-5004
Phone
(055) 499-6904
NPI assigned
Mar 5, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 219745 OK Primary
Critical Care Medicine Registered Nurse 163WC0200X R0128713 OK

Addresses

Primary practice location

700 NE 13TH St
Oklahoma City, OK 73104-5004

Mailing address

3808 Woodshadow Rd
Edmond, OK 73003-3046
Phone (405) 401-2161

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
I20241210000454 OK Practitioner - Nurse Practitioner 2860928207 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 Management PLLCGroup PAC ID 8123117066, 9 clinicians

Practice addresses (Care Compare)

3601 NW 138TH St
Suite 200
Oklahoma City, OK 73134-2513
Phone (405) 242-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0128713OKMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Nov 22, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Nov 22, 2024 Accepting new patients
Oklahoma Pain Management PLLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

4023 N Flood Ave
Norman, OK 73069
Phone (405) 242-4100

1000 NE 13th St
Ste 1G
Oklahoma City, OK 73104
Phone (405) 271-3445

14101 Parkway Commons Dr
Oklahoma City, OK 73134
Phone (405) 749-2700

3601 NW 138th St
Ste 200
Oklahoma City, OK 73134
Phone (405) 242-4100

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

4409 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 242-4100

4409 N Kickapoo Ave
Ste 129
Shawnee, OK 74804
Phone (405) 242-4100

1703 Professional Cir
Ste 101
Yukon, OK 73099
Phone (405) 242-4100

Organizations & group practices 3

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 6

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1063279909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 WOODSHADOW RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033046",
            "telephone_number": "405-401-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045004",
            "telephone_number": "055-499-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-08-06",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OK",
            "license": "219745",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OK",
            "license": "R0128713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.