Individual provider Active NPI

Kelly Roshelle Drusen, ARNP, NP-C

  • Family Nurse Practitioner
  • McAlester, OK
National Provider Identifier
1063790681
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R67754 Issued in OK
Practice address
1401 E Van Buren Ave
McAlester, OK 74501-4245
Phone
(918) 426-0240
NPI assigned
Jul 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R67754 OK Primary

Addresses

Primary practice location

1401 E Van Buren Ave
McAlester, OK 74501-4245

Mailing address

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3347

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
I20120731000503 OK Practitioner - Nurse Practitioner 0244496560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

1401 E Van Buren Ave
McAlester, OK 74501-4245
Phone (918) 426-0240

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

  • Lifespring Home Care of McAlester Home health agency, McAlester, OK, CCN 377756
  • McAlester Regional Health Center Home Health Home health agency, McAlester, OK, CCN 377090
  • Oklahoma Healthcare Solutions IX Home health agency, Muskogee, OK, CCN 377632
  • Compassion Home Care, Inc. Home health agency, Stigler, OK, CCN 377740
  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R67754OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jul 23, 2012 Accepting new patients

Locations

1401 E Van Buren Ave
McAlester, OK 74501
Phone (918) 421-8440

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

Interoperability endpoints

  • Direct secure messaging: kdrusen7689@direct.saintfrancis.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1063790681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE",
            "address_2": "SUITE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E VAN BUREN AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014245",
            "telephone_number": "918-426-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUSEN",
        "first_name": "KELLY",
        "middle_name": "ROSHELLE",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R67754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.