Individual provider Active NPI

Kelleena Shanna Duran, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Elk City, OK
National Provider Identifier
1073233797
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
210845 Issued in OK
Practice address
404 S Eastern Ave
Elk City, OK 73644-9608
Phone
(580) 303-5890
Fax
(580) 303-5891
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1097082 TX
Family Nurse Practitioner 363LF0000X 210845 OK Primary

Addresses

Primary practice location

404 S Eastern Ave
Elk City, OK 73644-9608

Mailing address

404 S Eastern Ave
Elk City, OK 73644-9608
Phone (580) 303-5890

Other practice location 1

6470 fm 3075
Shamrock, TX 79079
Phone (806) 216-0655

Other practice location 2

1801 W 3rd St
Elk City, OK 73644-5145
Phone (580) 225-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221208001967 OK Practitioner - Nurse Practitioner 1456720770 Reassigns benefits to 2 organizations
I20221228001759 TX Practitioner - Nurse Practitioner 1456720770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians
Farmers Union Hospital AssociationGroup PAC ID 7517949415, 43 clinicians

Practice addresses (Care Compare)

1303 N Washington St
Xpress Wellness Urgent Care
Weatherford, OK 73096-2443
Phone (580) 772-2820

1800 W 1St St
Elk City, OK 73644-3133

1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511

1819 W 3Rd St
Great Plains Regional Medical Center
Elk City, OK 73644-5145
Phone (580) 225-2511

220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355

411 W 3Rd St
Xpress Wellness Urgent Care
Elk City, OK 73644-5201
Phone (580) 303-9293

Hospital & facility affiliations

  • Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Sep 16, 2022 Accepting new patients
Farmers Union Hospital Association CurrentSince Feb 23, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 22, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 22, 2022 Accepting new patients
Farmers Union Hospital Association CurrentSince Feb 23, 2024 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

250 Skillman St
Ste 202
Brooklyn, NY 11205

411 W 3rd St
Elk City, OK 73644
Phone (580) 303-9293

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

404 S Eastern Ave
Elk City, OK 73644
Phone (580) 303-5890

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

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 3

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1073233797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S EASTERN AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736449608",
            "telephone_number": "580-303-5890",
            "fax_number": "580-303-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S EASTERN AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736449608",
            "telephone_number": "580-303-5890",
            "fax_number": "580-303-5891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6470 fm 3075",
            "address_purpose": "LOCATION",
            "city": "Shamrock",
            "state": "TX",
            "postal_code": "79079",
            "country_code": "US",
            "telephone_number": "806-216-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736445145",
            "country_code": "US",
            "telephone_number": "580-225-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "KELLEENA",
        "middle_name": "SHANNA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1097082",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "210845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.