Individual provider Active NPI

Andrea Marie Morrow, NURSE PRACTITIONER

  • Nurse Practitioner
  • Stilwell, OK
National Provider Identifier
1083258644
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0126546 Issued in OK
Practice address
1401 W Locust St
Stilwell, OK 74960-3275
Phone
(918) 696-3101
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0126546 OK Primary

Addresses

Primary practice location

1401 W Locust St
Stilwell, OK 74960-3275

Mailing address

19001 S 580 Rd
Stilwell, OK 74960-2665
Phone (580) 747-9084

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
I20200501001647 OK Practitioner - Nurse Practitioner 1153752340 Reassigns benefits to 2 organizations
I20211110000152 TX Practitioner - Nurse Practitioner 1153752340

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
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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

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
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
R0126546OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Health Center, Inc. CurrentSince Jan 31, 2020 Accepting new patients
Northeastern Health System Current Accepting new patients
Adair County Health Center,Inc. CurrentSince Jan 31, 2020 Accepting new patients
Adair County Health Center, Inc. Current Accepting new patients
Northeastern Health System CurrentSince Jul 1, 2023 Accepting new patients
Northeastern Health System CurrentSince Jul 1, 2023 Accepting new patients
Northeastern Health System Past Accepting new patients
Tahlequah Medical Group LLC Past Accepting new patients

Locations

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

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

1201 E Ross Byp
Tahlequah, OK 74464
Phone (918) 207-0991

Interoperability endpoints

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

Organizations & group practices 8

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1083258644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 S 580 RD",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749602665",
            "telephone_number": "580-747-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603275",
            "telephone_number": "918-696-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0126546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stilwell, OK

Sources for this page

Verify at the official NPI Registry.