Active NPI
Kyndal Renee' Stevens, APRN-CNP
- Family Nurse Practitioner
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 97099
- Practice address
- 2617 S Elm PL
Broken Arrow, OK 74012-7850 - Phone
- (918) 455-0414
- NPI assigned
- Nov 18, 2019
- 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 | 97099 | OK | Primary |
Addresses
Primary practice location
2617 S Elm PL
Broken Arrow, OK 74012-7850
Mailing address
1409 W 118TH St S
Jenks, OK 74037-4262
Phone (405) 642-2308
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyndal.stevens@hillcrest.com | Direct |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2617 S Elm PL
Suite 100
Broken Arrow, OK 74012-7850
Phone (918) 455-4541
Hospital & facility affiliations
- Elara Caring XXV
- Hillcrest Hospital South
- Hillcrest Medical Center
- Saint Francis Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Current | Accepting new patients |
Locations
2617 S Elm Pl
Broken Arrow, OK 74012
Phone (918) 455-4541
2617 S Elm Pl
Ste 100
Broken Arrow, OK 74012
Phone (918) 455-4541
701 E Main St
Jenks, OK 74037
Phone (918) 298-2264
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
Interoperability endpoints
- kstevens109857@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
- Home Health Agency
- Tulsa, OK
- NPI 1437164969
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1083250757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 W 118TH ST S",
"city": "JENKS",
"state": "OK",
"postal_code": "740374262",
"telephone_number": "405-642-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 S ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127850",
"telephone_number": "918-455-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "KYNDAL",
"middle_name": "RENEE'",
"name_prefix": "Ms.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "97099",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kyndal.stevens@hillcrest.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2617 S Elm Pl",
"city": "Broken Arrow",
"state": "OK",
"country_code": "US",
"postal_code": "740127850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.