Active NPI
Shelly Schoonover, APRN, CNP
- Family Nurse Practitioner
- Muskogee, OK
National Provider Identifier
1083169403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 68346
- Practice address
- 1328 S York St
Muskogee, OK 74403-7650 - Phone
- (918) 683-0470
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 68346 | OK | Primary |
Addresses
Primary practice location
1328 S York St
Muskogee, OK 74403-7650
Mailing address
PO Box 751
Hulbert, OK 74441-0751
Phone (918) 772-3390
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2343 N York St
Muskogee, OK 74403-1422
Phone (918) 348-1883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Oklahoma Community Health Centers Inc | Current | Accepting new patients | |
| Advanced Practice Care LLC | Current | Accepting new patients | |
| Northeastern Oklahoma Community Health Centers, Inc | Current | Accepting new patients | |
| Northeastern Oklahoma Community Health Centers Inc | Current | Accepting new patients |
Locations
124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879
1328 S York St
Muskogee, OK 74403
Phone (918) 682-2527
1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Muskogee, OK
- NPI 1477373520
-
- Federally Qualified Health Center (FQHC)
- Hulbert, OK
- NPI 1518070481
-
- Federally Qualified Health Center (FQHC)
- Pryor, OK
- NPI 1669101184
-
- Federally Qualified Health Center (FQHC)
- Tahlequah, OK
- NPI 1891097077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1083169403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751",
"city": "HULBERT",
"state": "OK",
"postal_code": "744410751",
"telephone_number": "918-772-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 S YORK ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744037650",
"telephone_number": "918-683-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOONOVER",
"first_name": "SHELLY",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "68346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.