Individual provider Active NPI

Dena J Lamons, NP

  • Family Nurse Practitioner
  • Tahlequah, OK
National Provider Identifier
1073062386
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103086 Issued in OK
Practice address
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone
(918) 458-3100
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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 103086 OK Primary

Addresses

Primary practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512

Mailing address

213 N Broadway St
Checotah, OK 74426-2431
Phone (918) 456-0641

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
I20220216001283 OK Practitioner - Nurse Practitioner 3678854619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

1373 E Boone St
Tahlequah, OK 74464-3365

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

1500 E Downing St
Suite 103
Tahlequah, OK 74464-3354
Phone (918) 207-1410

205 Harris Cir
Tahlequah, OK 74464-8849
Phone (918) 456-0641

5 Plaza S St
Tahlequah, OK 74464-4750
Phone (918) 525-2479

Hospital & facility affiliations

  • Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103086OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System Current Accepting new patients
Aspire Health Management, LLC CurrentSince Nov 9, 2021 Accepting new patients
Tahlequah City Hospital CurrentSince Jun 1, 2022 Accepting new patients
Del Health, LLC Family CurrentSince Jul 10, 2024 Accepting new patients
Northeastern Health System Past Accepting new patients
Countryside Wellness LLC PastSince May 1, 2024 Accepting new patients

Locations

213 N Broadway St
Checotah, OK 74426
Phone (918) 401-0200

5 Plaza South St
Tahlequah, OK 74464
Phone (918) 525-2479

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

2067 Mahaney Ave
Tahlequah, OK 74464
Phone (918) 457-9141

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 6

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 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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1073062386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N BROADWAY ST",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744262431",
            "telephone_number": "918-456-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BLISS AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642512",
            "telephone_number": "918-458-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMONS",
        "first_name": "DENA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "103086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.