Mary Chance

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

105718 Issued in OK

Practice address

1100 Hospital Cir
Kingfisher, OK 73750-5001

Phone

(405) 375-2350

NPI assigned

Jul 15, 2018

Last updated

Jul 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e0aed929-e53b-4d96-a40c-36cb9539f12f/

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.

• Kingfisher Clinic PLLC

  dba Kingfisher Family Clinic

  • Family Medicine Physician
  • Kingfisher, OK
  • NPI 1851780183
  Medicare reassignment NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1083190896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HOSPITAL CIR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737505001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HOSPITAL CIR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737505001",
            "telephone_number": "405-375-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "105718",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "105718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody C Byrd, RRT
• Kristyn Cagle, M.ED.
• Cardiac and Pulmonary Rehabilitation Clinic LLC
• Diane Castellanos, ARNP -CNP
• Amy R Cavner, APRN-CNP
• Chisholm Medical Equipment
• City of Kingfisher (Kingfisher Ambulance Service)
• Compassion Clinic Pharmacy
• Jimmy Lee Couch
• Countrywood Assisted Living & Memory Care, LLC

• Family Nurse Practitioner in Kingfisher, OK
• Providers in Kingfisher, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.