Individual provider Active NPI

Monica Roxana Tubbesing, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1063876985
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0110487 Issued in OK
Practice address
3400 S Douglas Blvd Ste 304
Oklahoma City, OK 73150-1018
Phone
(505) 622-3063
Fax
(405) 732-0022
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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 R0110487 OK Primary

Addresses

Primary practice location

3400 S Douglas Blvd Ste 304
Oklahoma City, OK 73150-1018

Mailing address

33620 Acme Rd
Macomb, OK 74852-5702
Phone (405) 333-2410

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
I20170127000397 OK Practitioner - Nurse Practitioner 0446532428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rural Wellness Anadarko IncGroup PAC ID 3274926100, 5 clinicians
Rural Wellness Fairfax IncGroup PAC ID 3678904752, 10 clinicians

Practice addresses (Care Compare)

1002 E Central Blvd
Anadarko, OK 73005-4405
Phone (405) 247-2551

40 Hospital Rd
Fairfax, OK 74637-5084
Phone (918) 642-3291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0110487OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Wellness Anadarko Inc CurrentSince Aug 1, 2023 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Aug 1, 2023 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Aug 1, 2023 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Aug 1, 2023 Accepting new patients
Great Plains Cardiology LLC CurrentSince Jan 3, 2022 Accepting new patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Shoolin LLC CurrentSince Oct 23, 2017 Accepting new patients
Shri LLC Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

105 S Bryant Ave
Ste 101
Edmond, OK 73034
Phone (405) 622-3063

40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827

Dept 960617
Oklahoma City, OK 73196

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

Interoperability endpoints

  • Direct secure messaging: monica.tubbesing@direct.drhhealth.org
  • Direct secure messaging: mtubbesing206745@direct-ehr-ssmhc.com

Organizations & group practices 8

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1063876985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33620 ACME RD",
            "city": "MACOMB",
            "state": "OK",
            "postal_code": "748525702",
            "telephone_number": "405-333-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S DOUGLAS BLVD STE 304",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731501018",
            "telephone_number": "505-622-3063",
            "fax_number": "405-732-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBESING",
        "first_name": "MONICA",
        "middle_name": "ROXANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0110487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.